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Individual

MRS. CHERYL S FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4745 POPLAR AVE, SUITE 312, MEMPHIS, TN 38117-4430
(901) 864-4637
(901) 379-3530
Mailing address
9330 JAYNE LEWIS CV, MEMPHIS, TN 38133-0962
(901) 828-2670
(901) 379-3530

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
55698333
TN

Other

Enumeration date
02/18/2011
Last updated
02/18/2011
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