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1194094516
BRANDON LEE BRADSHAW
SAN ANTONIO, TX
NPI
1194094516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: TX 80-0722004)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
Mr. BRANDON LEE BRADSHAW
1431 CABLE RANCH RD APT 1811
SAN ANTONIO, TX 78245-2138
Phone number: 210-473-5777
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Mailing Address
Mr. BRANDON LEE BRADSHAW
1431 CABLE RANCH RD APT 1811
SAN ANTONIO, TX 78245-2138
Phone number: 210-473-5777
Copy
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