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1386338804
LAUREN LEE STANFORD
RICHMOND, VA
NPI
1386338804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305215845)
Enumeration Date
2023-06-07
Last Update Date
2023-06-08
Business Address
LAUREN LEE STANFORD
7858 SHRADER RD
RICHMOND, VA 23294-4222
Phone number: 804-915-1910
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Mailing Address
LAUREN LEE STANFORD
PO BOX 715868
PHILADELPHIA, PA 19171-5868
Phone number: 804-915-1910
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