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1013657956
LYDIA STANFORD
NEWNAN, GA
NPI
1013657956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
LYDIA STANFORD
679 SMITH RD
NEWNAN, GA 30263-3988
Phone number: 404-910-8512
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Mailing Address
LYDIA STANFORD
679 SMITH RD
NEWNAN, GA 30263-3988
Phone number:
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