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1861776189
WANDA BANHAN
GAINESVILLE, FL
NPI
1861776189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA 9105668)
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
Mrs. WANDA BANHAN PA-C
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
Mrs. WANDA BANHAN PA-C
2327 WILSON ST
HOLLYWOOD, FL 33020-2652
Phone number: 954-801-4605
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