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1013304450
LARRY D. BRADLEY
MIAMI, FL
NPI
1013304450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
LARRY D. BRADLEY
10423 N KENDALL DRIVE UNIT C-207
MIAMI, FL 33176
Phone number: 786-218-3976
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Mailing Address
LARRY D. BRADLEY
10423 N KENDALL DRIVE UNIT C-207
MIAMI, FL 33176
Phone number: 786-218-3976
Copy
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