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1962017376
MELANNIE BANNERMAN
MIAMI, FL
NPI
1962017376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2020-09-11
Last Update Date
2020-10-08
Business Address
MELANNIE BANNERMAN
1951 NW 7TH AVE STE 300
MIAMI, FL 33136-1112
Phone number: 305-902-6347
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Mailing Address
MELANNIE BANNERMAN
1951 NW 7TH AVE STE 300
MIAMI, FL 33136-1112
Phone number: 305-902-6347
Copy
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