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1134104474
LYNN H STAFFORD
FORT WAYNE, IN
NPI
1134104474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IN 07000636)
Enumeration Date
2005-12-09
Last Update Date
2012-06-13
Business Address
Dr. LYNN H STAFFORD DPM
7559 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4131
Phone number: 260-436-3579
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Mailing Address
Dr. LYNN H STAFFORD DPM
7559 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4131
Phone number: 260-436-3579
Copy
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