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Individual

MAROL STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
3321 DANVILLE DR APT 606, KILGORE, TX 75662-5731
(817) 808-6860
Mailing address
3321 DANVILLE DR APT 606, KILGORE, TX 75662-5731

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341410
TX

Other

Enumeration date
04/26/2018
Last updated
04/26/2018
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