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1962436675
PETER STAFFORD
CROWN POINT, IN
NPI
1962436675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05006990A)
Enumeration Date
2006-07-10
Last Update Date
2007-12-18
Business Address
-- PETER STAFFORD P.T.
11450 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-488-0157
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Mailing Address
-- PETER STAFFORD P.T.
11450 BROADWAY
CROWN POINT, IN 46307-7106
Phone number: 219-488-0157
Copy
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