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Individual
CHRISTY BANTONG
Active
Individual
CHRISTY BANTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26450
TN
363LA2200X
Adult Health Nurse Practitioner
A005173
AR
363LG0600X
Gerontology Nurse Practitioner
26450
TN
Other
Enumeration date
06/19/2017
Last updated
10/28/2025
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