JOSEPH VAUGHAN BANTA

BINGHAMTON, NY
NPI1861952095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-22
Last Update Date2021-04-17
Business Address
Dr. JOSEPH VAUGHAN BANTA DO
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4198
Phone number: 607-798-5280
Mailing Address
Dr. JOSEPH VAUGHAN BANTA DO
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4198
Phone number: 607-798-5280
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