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1871001420
KAREN LAVONNE FORD
BRISTOL, VA
NPI
1871001420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
KAREN LAVONNE FORD
727 PORTSMOUTH AVENUE
BRISTOL, VA 24201
Phone number: 276-210-5051
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Mailing Address
KAREN LAVONNE FORD
727 PORTSMOUTH AVENUE
BRISTOL, VA 24201
Phone number: 276-210-5051
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