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1811162522
SOUDABEH K. BANANKHAH
BALTIMORE, MD
NPI
1811162522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MD R106053)
Enumeration Date
2008-04-23
Last Update Date
2008-06-25
Business Address
-- SOUDABEH K. BANANKHAH CRNA
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 410-550-0465
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Mailing Address
-- SOUDABEH K. BANANKHAH CRNA
PO BOX 64382
BALTIMORE, MD 21264-4382
Phone number:
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