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1821528258
HEATHER LESLIE BANNISTER
GREENVILLE, SC
NPI
1821528258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20889)
Enumeration Date
2017-06-18
Last Update Date
2018-12-14
Business Address
Mrs. HEATHER LESLIE BANNISTER FNP-C
10 ENTERPRISE BLVD STE 209
GREENVILLE, SC 29615-3554
Phone number: 864-626-5660
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Mailing Address
Mrs. HEATHER LESLIE BANNISTER FNP-C
408 WEST ALEXANDER AVE
GREENWOOD, SC 29646-4031
Phone number: 864-227-9393
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