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1073962437
VANESSA RISINGMOON
DULUTH, GA
NPI
1073962437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP009220)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- VANESSA RISINGMOON
4500 SATELLITE BLVD STE 2250
DULUTH, GA 30096-5037
Phone number: 800-381-2195
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Mailing Address
-- VANESSA RISINGMOON
897 TANNER DR
SCOTTDALE, GA 30079-1036
Phone number: 800-381-2195
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