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1053139568
ERIKA AVIS BRADFORD
KENT, WA
NPI
1053139568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA 61558328)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
ERIKA AVIS BRADFORD SUDPT
232 2ND AVE S STE 201
KENT, WA 98032-5862
Phone number: 253-859-0300
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Mailing Address
ERIKA AVIS BRADFORD SUDPT
12620 197TH AVE E
BONNEY LAKE, WA 98391-6066
Phone number: 253-455-0815
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