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1811201544
STANFORD MEDICAL INC
GRENADA, MS
NPI
1811201544
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Entity Type
Organization
Authorized Contact
JAMES KEITH STANFORD
Owner
662-227-1744
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-08-05
Last Update Date
2010-11-08
Business Address
STANFORD MEDICAL INC
1117 SUNSET DR SUITE 101
GRENADA, MS 38901-4080
Phone number: 662-227-1744
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Mailing Address
STANFORD MEDICAL INC
1117 SUNSET DR SUITE 101
GRENADA, MS 38901-4080
Phone number: 662-227-1744
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