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1336981489
VIOLET ROSE VANCE
LOGAN, WV
NPI
1336981489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
VIOLET ROSE VANCE
413 1ST AVE
LOGAN, WV 25601-3207
Phone number: 304-733-1094
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Mailing Address
VIOLET ROSE VANCE
413 1ST AVE
LOGAN, WV 25601-3207
Phone number:
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