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1174862320
BRAD T BROGDON
TISHOMINGO, OK
NPI
1174862320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2013-02-07
Last Update Date
2019-08-07
Business Address
BRAD T BROGDON LPC
610 E 24TH ST
TISHOMINGO, OK 73460-3245
Phone number: 580-371-2343
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Mailing Address
BRAD T BROGDON LPC
RESOURCE MANAGEMENT 1300 HOPPE BLVD., SUITE 1
ADA, OK 74820
Phone number: 580-436-7211
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