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1003393265
DIANE LOIS SANFORD
JACKSON, MS
NPI
1003393265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
DIANE LOIS SANFORD
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
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Mailing Address
DIANE LOIS SANFORD
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number: 769-251-5550
Copy
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