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Individual

JUSTIN BANKHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(208) 650-5352
Mailing address
75 BOYD PL APT A, RENO, NV 89503-5579
(208) 650-5352

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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