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1083962203
ANTA L BRADLEY
MORENO VALLEY, CA
NPI
1083962203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 180873)
Enumeration Date
2012-08-20
Last Update Date
2012-08-20
Business Address
-- ANTA L BRADLEY L.V.N.
11417 BRIGHT STAR TRL
MORENO VALLEY, CA 92557-5617
Phone number: 951-490-5943
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Mailing Address
-- ANTA L BRADLEY L.V.N.
11417 BRIGHT STAR TRL
MORENO VALLEY, CA 92557-5617
Phone number: 951-490-5943
Copy
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