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1861952095
JOSEPH VAUGHAN BANTA
BINGHAMTON, NY
NPI
1861952095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-22
Last Update Date
2021-04-17
Business Address
DR. JOSEPH VAUGHAN BANTA DO
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4198
Phone number: 607-798-5280
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Mailing Address
DR. JOSEPH VAUGHAN BANTA DO
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4198
Phone number: 607-798-5280
Copy
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