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1386256097
DIANA LYNN EZELL
COLUMBUS, GA
NPI
1386256097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
DIANA LYNN EZELL S/T, MS
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 762-822-0087
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Mailing Address
DIANA LYNN EZELL S/T, MS
1300 ADIE ST
PHENIX CITY, AL 36867-6125
Phone number: 762-822-0087
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