BRADLEY FRANK DURHAM

COBURG, OR
NPI1154006559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  t-23-2661)
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
BRADLEY FRANK DURHAM cadc1r
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 208-427-5064
Mailing Address
BRADLEY FRANK DURHAM cadc1r
1 SERENITY LN
COBURG, OR 97408-9350
Phone number:
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