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1467071191
HEATHER DAWN VANGORKUM
COLUMBUS, GA
NPI
1467071191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-113779)
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
HEATHER DAWN VANGORKUM
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1705
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Mailing Address
HEATHER DAWN VANGORKUM
23 ISBELL RD
FORT MITCHELL, AL 36856-5587
Phone number: 912-996-7752
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