Individual
CRYSTAL LYNN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
245 S MARKET ST, WEST UNION, OH 45693-1459
(937) 217-6466
Mailing address
245 S MARKET ST, WEST UNION, OH 45693-1459
(937) 217-6466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
153370
OH
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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