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1114391828
KEVIN BRADFORD
ANKENY, IA
NPI
1114391828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 15094)
Enumeration Date
2015-11-18
Last Update Date
2015-11-23
Business Address
KEVIN BRADFORD A.S. C.A.D.C
1607 NW PRAIRIE LAKES DR UNIT 212
ANKENY, IA 50023-4819
Phone number: 402-840-7288
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Mailing Address
KEVIN BRADFORD A.S. C.A.D.C
1607 NW PRAIRIE LAKES DR.UNIT 212
ANKENY, IA 50023
Phone number: 402-840-7288
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