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1023665569
LAUREN MICHELLE STAFFORD
ADA, OK
NPI
1023665569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
LAUREN MICHELLE STAFFORD ATC
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 580-322-8000
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Mailing Address
LAUREN MICHELLE STAFFORD ATC
1028 NORTON DR
MESQUITE, TX 75149-5839
Phone number: 214-534-6749
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