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1972037182
MICAHELLA VANCE
SACRAMENTO, CA
NPI
1972037182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 17353)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- MICAHELLA VANCE
3205 HURLEY WAY
SACRAMENTO, CA 95864-3853
Phone number: 916-485-6711
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Mailing Address
-- MICAHELLA VANCE
3205 HURLEY WAY
SACRAMENTO, CA 95864-3853
Phone number: 916-485-6711
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