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Individual

MR. VINCENT ANTHONY SAUNDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4448 T J KELLY DR, HEPHZIBAH, GA 30815-5892
(804) 479-9274
Mailing address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YS0200X
School Counselor
059332319
GA
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059332319
DRIVER'S LICENCE
GA
Enumeration date
11/16/2018
Last updated
11/16/2018
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