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1215082839
GARY L. STAFFORD
MILWAUKEE, WI
NPI
1215082839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021048)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Dr. GARY L. STAFFORD DMD
1801 W WISCONSIN AVE RM 336A
MILWAUKEE, WI 53233-2186
Phone number: 414-288-5409
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Mailing Address
Dr. GARY L. STAFFORD DMD
1801 W WISCONSIN AVE RM 336A
MILWAUKEE, WI 53233-2186
Phone number: 414-288-5409
Copy
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