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Individual

MS. AMBER STAR VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
124 N MAPLE ST, WEST SALEM, OH 44287-8005
(330) 749-9455
Mailing address
124 N MAPLE ST, WEST SALEM, OH 44287-8005
(330) 749-9455

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.158184.MEDS-IV
OH

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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