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1770567109
MELINDA D. BANISTER
LUBBOCK, TX
NPI
1770567109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX L6775)
Enumeration Date
2005-11-30
Last Update Date
2010-01-22
Business Address
Dr. MELINDA D. BANISTER M.D.
4505 15TH ST
LUBBOCK, TX 79416-4809
Phone number: 806-793-3510
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Mailing Address
Dr. MELINDA D. BANISTER M.D.
4505 15TH ST
LUBBOCK, TX 79416-4809
Phone number: 806-793-3510
Copy
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