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1124409412
LAWRENCE DOUGLAS SAMPSON
JACKSON, MS
NPI
1124409412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-12
Last Update Date
2015-06-12
Business Address
Mr. LAWRENCE DOUGLAS SAMPSON
6204 N STATE ST
JACKSON, MS 39213-9731
Phone number: 202-765-8092
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Mailing Address
Mr. LAWRENCE DOUGLAS SAMPSON
6204 N STATE ST
JACKSON, MS 39213-9731
Phone number: 202-765-8092
Copy
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