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1508011289
JOHANNA STAFFORD
SACRAMENTO, CA
NPI
1508011289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-11-23
Last Update Date
2008-11-23
Business Address
Ms. JOHANNA STAFFORD
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1024
Phone number: 916-452-3981
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Mailing Address
Ms. JOHANNA STAFFORD
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1024
Phone number: 916-452-3981
Copy
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