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1871050476
GARY STAFFORD
PRESTONSBURG, KY
NPI
1871050476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
GARY STAFFORD
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
GARY STAFFORD
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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