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Individual

DR. HOLLI ETHEL BANES

Active
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Individual

DR. HOLLI ETHEL BANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31660
CA
111NR0400X
Rehabilitation Chiropractor
DC-31660
CA

Other

Enumeration date
01/12/2010
Last updated
09/07/2010
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