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Individual
BRENDA LOUISE BANWELL
Active
Individual
BRENDA LOUISE BANWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0101994
MD
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD445153
PA
Other
Enumeration date
05/02/2012
Last updated
11/12/2024
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