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Individual
VANITY N SAMPSON
Active
Individual
VANITY N SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009038577
—
LA
Enumeration date
04/18/2018
Last updated
11/29/2018
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