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1861022386
CRAIG A STAFFORD
COLVILLE, WA
NPI
1861022386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61036500)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
CRAIG A STAFFORD
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
CRAIG A STAFFORD
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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