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1760634802
LISA GAYLE BANISTER
OVIEDO, FL
NPI
1760634802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 021430)
Enumeration Date
2008-10-21
Last Update Date
2022-02-23
Business Address
Mrs. LISA GAYLE BANISTER P.T.
880 ROYALWOOD LN
OVIEDO, FL 32765-8536
Phone number: 580-695-5898
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Mailing Address
Mrs. LISA GAYLE BANISTER P.T.
880 ROYALWOOD LN
OVIEDO, FL 32765-8536
Phone number: 580-695-5898
Copy
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