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1073843512
KELLY M STAFFORD
NEWARK, DE
NPI
1073843512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT759)
Enumeration Date
2010-01-06
Last Update Date
2019-03-19
Business Address
Miss KELLY M STAFFORD MS, ATC
631 S COLLEGE AVE
NEWARK, DE 19716-2010
Phone number: 302-831-8857
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Mailing Address
Miss KELLY M STAFFORD MS, ATC
631 S COLLEGE AVE
NEWARK, DE 19716-2010
Phone number: 302-831-2255
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