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1710735964
GARRAD STANFIELD
WAKE FOREST, NC
NPI
1710735964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: NC 20889954)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
GARRAD STANFIELD
2040 RAINY LAKE ST
WAKE FOREST, NC 27587-3419
Phone number: 984-297-4167
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Mailing Address
GARRAD STANFIELD
2040 RAINY LAKE ST
WAKE FOREST, NC 27587-3419
Phone number: 984-297-4167
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