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1922848324
JHONNY WALTER PERUSINA BANOS
PONTIAC, MI
NPI
1922848324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4351053223)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
JHONNY WALTER PERUSINA BANOS MD
HONOR COMMUNITY HEALTH, 1200 N TELEGRAPH ROAD BUILDING 34E
PONTIAC, MI 48341
Phone number: 248-724-7600
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Mailing Address
JHONNY WALTER PERUSINA BANOS MD
P.O. BOX 430150 HONOR COMMUNITY HEALTH
PONTIAC, MI 48343-0150
Phone number: 248-724-7600
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