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Individual

ANGELA ROSE VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
312 DIAMOND AVE, BELLE, WV 25015-1303
(304) 949-3443
Mailing address
312 DIAMOND AVE, BELLE, WV 25015-1303
(304) 949-3443

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007-2294
WV

Other

Enumeration date
04/25/2008
Last updated
04/25/2008
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