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Organization

VANILLA MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN SHAH (EXECUTIVE DIRECTOR)
(717) 515-9652
Entity
Organization

Contact information

Practice address
20 EXPEDITION TRL, SUITE 102, GETTYSBURG, PA 17325-8598
(717) 515-9652
Mailing address
20 EXPEDITION TRL, SUITE 102, GETTYSBURG, PA 17325-8598

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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