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1003093667
JASON CHARLES STANFORD
GERMANTOWN, MD
NPI
1003093667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MD C0002208)
Enumeration Date
2008-01-25
Last Update Date
2023-12-01
Business Address
JASON CHARLES STANFORD P.A.-C
19466 CARAVAN DR
GERMANTOWN, MD 20874-6220
Phone number: 214-227-2457
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Mailing Address
JASON CHARLES STANFORD P.A.-C
8110 MAPLE LAWN BLVD STE 235
FULTON, MD 20759-2694
Phone number: 301-340-8339
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