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Individual
MR. JONATHAN P BANET
Active
Individual
MR. JONATHAN P BANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
201407085RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.1638316
CO
Other
Enumeration date
02/23/2015
Last updated
03/30/2018
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