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1740024280
DENETRIUS BANKS
GREENVILLE, MS
NPI
1740024280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 906735)
Enumeration Date
2024-06-20
Last Update Date
2024-06-24
Business Address
DENETRIUS BANKS
1502 S COLORADO ST
GREENVILLE, MS 38703-7219
Phone number: 662-335-4105
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Mailing Address
DENETRIUS BANKS
1502 S COLORADO ST
GREENVILLE, MS 38703-7219
Phone number: 662-335-4105
Copy
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