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Individual
SUE ANN SANFORD
Active
Individual
SUE ANN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004414
MI
152W00000X
Optometrist
Primary
6766T
TX
152W00000X
Optometrist
OPC 4240
FL
Other
Enumeration date
01/31/2007
Last updated
06/08/2022
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