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1972074409
VONTAVIA MCPHAUL
BENNETTSVILLE, SC
NPI
1972074409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
VONTAVIA MCPHAUL
111 CLYDE ST
BENNETTSVILLE, SC 29512-3117
Phone number: 910-250-8811
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Mailing Address
VONTAVIA MCPHAUL
111 CLYDE ST
BENNETTSVILLE, SC 29512-3117
Phone number: 910-250-8811
Copy
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