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1619506748
RANDALL SCOTT VANCE
ELIZABETHTOWN, KY
NPI
1619506748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: KY 1179634)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
RANDALL SCOTT VANCE
537 BELLWOOD DR APT 1
ELIZABETHTOWN, KY 42701-2336
Phone number: 270-312-2500
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Mailing Address
RANDALL SCOTT VANCE
537 BELLWOOD DR APT 1
ELIZABETHTOWN, KY 42701-2336
Phone number:
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