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1568218378
DETRA L VANCE
PHOENIX, AZ
NPI
1568218378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251J00000X Nursing Care
(Licence: AZ 999950215)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
Ms. DETRA L VANCE
1729 E CALDWELL ST
PHOENIX, AZ 85042-8044
Phone number: 602-348-8278
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Mailing Address
Ms. DETRA L VANCE
1729 E CALDWELL ST
PHOENIX, AZ 85042-8044
Phone number: 602-348-8278
Copy
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