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Individual

SANDRA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
167 HWY 107, MORROW, LA 71356-0132
(318) 264-2266
Mailing address
PO BOX 132, MORROW, LA 71356-0132

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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