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1356620066
MISTY VANLANDINGHAM FOUNTAIN
SMYRNA, GA
NPI
1356620066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005004)
Enumeration Date
2011-08-11
Last Update Date
2011-08-11
Business Address
Mrs. MISTY VANLANDINGHAM FOUNTAIN CCC-SLP
1685 HARLINGTON RD
SMYRNA, GA 30082-5052
Phone number: 770-432-0395
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Mailing Address
Mrs. MISTY VANLANDINGHAM FOUNTAIN CCC-SLP
5891 BUCKNER CREEK DR
MABLETON, GA 30126-2795
Phone number: 404-281-4126
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