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Individual

CHERYL E SANFORD-GIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Mailing address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06545R
LA
225100000X
Physical Therapist
Primary
PT2244
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04401079
MS
05
1431281
LA
Enumeration date
01/09/2007
Last updated
07/09/2007
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