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1073810214
MICHAEL CLAYTON STAFFORD
CHARLESTON, SC
NPI
1073810214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 570)
Enumeration Date
2011-02-24
Last Update Date
2011-02-24
Business Address
Mr. MICHAEL CLAYTON STAFFORD RD, LD
86 JONATHAN LUCAS ST
CHARLESTON, SC 29425-8900
Phone number: 843-792-3101
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Mailing Address
Mr. MICHAEL CLAYTON STAFFORD RD, LD
86 JONATHAN LUCAS ST
CHARLESTON, SC 29425-8900
Phone number: 843-792-3101
Copy
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