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1154998755
MICHELE D VANCE
BALTIMORE, MD
NPI
1154998755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A2619)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
Ms. MICHELE D VANCE PTA
6401 N CHARLES ST
BALTIMORE, MD 21212-1016
Phone number: 410-377-7773
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Mailing Address
Ms. MICHELE D VANCE PTA
10711 TYRIE AVE
COCKEYSVILLE, MD 21030-2329
Phone number: 443-248-9790
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