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1053916536
LASHANDA BRADFORD
SAINT LOUIS, MO
NPI
1053916536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2013017894)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
LASHANDA BRADFORD
10626 VORHOF DR
SAINT LOUIS, MO 63136-5730
Phone number: 314-874-5895
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Mailing Address
LASHANDA BRADFORD
10626 VORHOF DR
SAINT LOUIS, MO 63136-5730
Phone number: 314-874-5895
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