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Individual

IVORIE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2109 W FRANK AVE, LUFKIN, TX 75904-3516
(936) 701-1495
Mailing address
1807 SMITH ST, LUFKIN, TX 75904-1212
(936) 219-7660

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
10/11/2023
Last updated
10/23/2023
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