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1699256636
JOBEN SAMSON BANAN
ROCKWALL, TX
NPI
1699256636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137884)
Enumeration Date
2018-08-28
Last Update Date
2023-05-18
Business Address
Mr. JOBEN SAMSON BANAN FNP-C
2235 S GOLIAD ST STE 110
ROCKWALL, TX 75032-4903
Phone number: 469-495-9142
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Mailing Address
Mr. JOBEN SAMSON BANAN FNP-C
7609 AMESBURY LN
ROWLETT, TX 75089-3881
Phone number:
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