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1699884890
CHANTAY BANIKARIM
PHOENIX, AZ
NPI
1699884890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: AZ 30080)
Enumeration Date
2006-08-30
Last Update Date
2012-04-24
Business Address
CHANTAY BANIKARIM M.D.
222 W THOMAS RD SUITE 301
PHOENIX, AZ 85013-4419
Phone number: 602-406-4772
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Mailing Address
CHANTAY BANIKARIM M.D.
FILE 56765
LOS ANGELES, CA 90074-6765
Phone number: 602-406-3860
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