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1194219113
ROGER LEE BRADLEY
ALTOONA, PA
NPI
1194219113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-22
Last Update Date
2018-06-22
Business Address
ROGER LEE BRADLEY
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-943-0414
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Mailing Address
ROGER LEE BRADLEY
500 E CHESTNUT AVE
ALTOONA, PA 16601-5215
Phone number: 814-943-0414
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