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1902977002
CLINTON CHARLES SANFORD
SILVERTON, OR
NPI
1902977002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 10096)
Enumeration Date
2006-11-11
Last Update Date
2010-08-05
Business Address
Dr. CLINTON CHARLES SANFORD MD
333 FAIRVIEW ST
SILVERTON, OR 97381-1916
Phone number: 503-873-2770
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Mailing Address
Dr. CLINTON CHARLES SANFORD MD
333 FAIRVIEW ST.
SILVERTON, OR 97381
Phone number: 503-873-2770
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