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1386424711
JONATHAN DELTON STAFFORD
JACKSON, MI
NPI
1386424711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
JONATHAN DELTON STAFFORD CHW
500 N JACKSON ST
JACKSON, MI 49201-1223
Phone number: 517-748-5500
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Mailing Address
JONATHAN DELTON STAFFORD CHW
2955 PHEASANT RUN DR
JACKSON, MI 49202-1344
Phone number: 517-885-5238
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