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1750650800
DARRELL LEE BANTA
MINDEN, NV
NPI
1750650800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
-- DARRELL LEE BANTA
2560 BUSINESS PKWY
MINDEN, NV 89423-8985
Phone number: 775-267-9411
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Mailing Address
-- DARRELL LEE BANTA
2560 BUSINESS PKWY
MINDEN, NV 89423-8985
Phone number:
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