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1053302216
JAMES BRADLEY GRAHAM
BARKSDALE AFB, LA
NPI
1053302216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 2890)
Enumeration Date
2005-11-04
Last Update Date
2007-07-08
Business Address
Dr. JAMES BRADLEY GRAHAM D.M.D.
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6568
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Mailing Address
Dr. JAMES BRADLEY GRAHAM D.M.D.
3218 STOCKWELL RD
BOSSIER CITY, LA 71111-5751
Phone number: 318-752-3031
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