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1275019747
MELISSA VANDEVENTER
EVANS, GA
NPI
1275019747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-18-60780)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
MELISSA VANDEVENTER
624 PONDER PLACE DR
EVANS, GA 30809-3343
Phone number: 706-863-9699
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Mailing Address
MELISSA VANDEVENTER
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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