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1992243661
MICHAEL STAFFORD
MERCED, CA
NPI
1992243661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
MICHAEL STAFFORD
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
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Mailing Address
MICHAEL STAFFORD
927 W 20TH ST
MERCED, CA 95340-3502
Phone number:
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