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1235650466
REGINA BRADFORD
SHREVEPORT, LA
NPI
1235650466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-06-28
Last Update Date
2022-07-21
Business Address
REGINA BRADFORD
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
REGINA BRADFORD
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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