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Individual

REBECCA BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(864) 577-7675
(864) 577-7629
Mailing address
314 FISHER LAKE RD, LYMAN, SC 29365-9245
(864) 607-1964

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
217358
SC

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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