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1104399930
VANESSA PROFIT
FORT SILL, OK
NPI
1104399930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2019-01-03
Last Update Date
2024-07-16
Business Address
VANESSA PROFIT PA-C
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 240-688-2490
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Mailing Address
VANESSA PROFIT PA-C
171 WALLACE BLVD APT A16
CLARKSVILLE, TN 37042-8001
Phone number: 240-688-2490
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