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1134769300
TERRANCE BRAFFORD
GRANITE CITY, IL
NPI
1134769300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
TERRANCE BRAFFORD
2533 E 24TH ST
GRANITE CITY, IL 62040-5638
Phone number: 314-397-8326
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Mailing Address
TERRANCE BRAFFORD
1342 KINGSLAND AVE
SAINT LOUIS, MO 63133-1614
Phone number: 314-479-5710
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