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1528444312
NANCY VANCE
ELLENWOOD, GA
NPI
1528444312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- NANCY VANCE
4310 BOULDERCREST RD
ELLENWOOD, GA 30294-2423
Phone number: 678-437-5909
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Mailing Address
-- NANCY VANCE
4310 BOULDERCREST RD
ELLENWOOD, GA 30294-2423
Phone number: 678-437-5909
Copy
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