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1821839820
ERIN KAYLA BANNISTER
PHILADELPHIA, PA
NPI
1821839820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP029808)
Enumeration Date
2024-06-04
Last Update Date
2024-06-04
Business Address
ERIN KAYLA BANNISTER CPNP-PC
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
ERIN KAYLA BANNISTER CPNP-PC
41 BRIDGE DR
BLACKWOOD, NJ 08012-2332
Phone number: 856-885-3909
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