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1831727700
AUGUSTO F BANAYAT
SAN BERNARDINO, CA
NPI
1831727700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NPF95013989)
Enumeration Date
2020-03-27
Last Update Date
2024-02-12
Business Address
AUGUSTO F BANAYAT FNP
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5115
Phone number: 909-883-8611
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Mailing Address
AUGUSTO F BANAYAT FNP
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5115
Phone number: 909-883-8611
Copy
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