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1003231317
LAUNCE BRADDOCK
GRIFFIN, GA
NPI
1003231317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA000794)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- LAUNCE BRADDOCK
415 AIRPORT RD
GRIFFIN, GA 30224-4834
Phone number: 770-227-8636
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Mailing Address
-- LAUNCE BRADDOCK
415 AIRPORT RD
GRIFFIN, GA 30224-4834
Phone number:
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