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Individual

APRIL ROXANNE VANIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2022 CUMMING HWY, CANTON, GA 30114-8071
(678) 880-4312
(678) 880-4322
Mailing address
2022 CUMMING HWY, CANTON, GA 30114-8071
(678) 880-4312
(678) 880-4322

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019528
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH019528
GEORGIA STATE BOARD
GA
Enumeration date
06/18/2011
Last updated
06/18/2011
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