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1912780925
MARYAM BANAN
RIVERSIDE, CA
NPI
1912780925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95026109)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
MARYAM BANAN
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3000
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Mailing Address
MARYAM BANAN
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4199
Phone number: 951-788-3000
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