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1376083220
PHILLIP CLAYON STAFFORD
LAS VEGAS, NV
NPI
1376083220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-02-26
Last Update Date
2021-08-05
Business Address
Mr. PHILLIP CLAYON STAFFORD
7213 CHESTERTON DR
LAS VEGAS, NV 89128-3121
Phone number: 702-754-9136
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Mailing Address
Mr. PHILLIP CLAYON STAFFORD
7055 E LAKE MEAD BLVD APT 1004
LAS VEGAS, NV 89156-1108
Phone number: 804-729-1264
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