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1811154412
MINNIE VANCE
CHATTANOOGA, TN
NPI
1811154412
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Entity Type
Organization
Authorized Contact
MINNIE RATLIFF VANCE
Owner,Operator
423-624-8226
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TN MD1768)
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
MINNIE VANCE
2507 MCCALLIE AVE
CHATTANOOGA, TN 37404-3304
Phone number: 423-624-8226
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Mailing Address
MINNIE VANCE
2507 MCCALLIE AVE
CHATTANOOGA, TN 37404-3304
Phone number: 423-624-8226
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