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1083741615
LAURA STAFFORD
KETTERING, OH
NPI
1083741615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT001609)
Enumeration Date
2007-02-28
Last Update Date
2015-01-29
Business Address
Miss LAURA STAFFORD AT
4403 FAR HILLS AVE
KETTERING, OH 45429-2405
Phone number: 937-395-3920
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Mailing Address
Miss LAURA STAFFORD AT
4403 FAR HILLS AVE
KETTERING, OH 45429-2405
Phone number: 937-395-3920
Copy
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