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Individual

BRITTANY JENEE VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3998 FOREST EDGE DR, COLUMBUS, OH 43230-1018
(937) 503-0852
Mailing address
3998 FOREST EDGE DR, COLUMBUS, OH 43230-1018
(937) 503-0852

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
TF600056
OH
376J00000X
Homemaker
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0435712
OH
05
5718809
OH
Enumeration date
10/26/2021
Last updated
08/05/2024
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