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1053012880
PHILIP JOHN STAFFORD
SEATTLE, WA
NPI
1053012880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
PHILIP JOHN STAFFORD
555 16TH AVE
SEATTLE, WA 98122-5618
Phone number: 206-324-8200
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Mailing Address
PHILIP JOHN STAFFORD
11 FRIENDSHIP LN
COLORADO SPRINGS, CO 80904-1810
Phone number: 719-649-5685
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