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1952707903
BANNISTER LEE RAINES
BALTIMORE, MD
NPI
1952707903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MD D0017735)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
Dr. BANNISTER LEE RAINES M.D.
1325 BEDFORD AVE UNIT 21499
BALTIMORE, MD 21282-7525
Phone number: 443-415-7170
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Mailing Address
Dr. BANNISTER LEE RAINES M.D.
1325 BEDFORD AVE UNIT 21499
BALTIMORE, MD 21282-7525
Phone number: 443-415-7170
Copy
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