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1306277702
BRADFORD HOLL
WASILLA, AK
NPI
1306277702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AK 809)
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
-- BRADFORD HOLL LPC
1261 S SEWARD MERIDIAN PKWY
WASILLA, AK 99654-8372
Phone number: 907-351-9220
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Mailing Address
-- BRADFORD HOLL LPC
PO BOX 67
PALMER, AK 99645-0067
Phone number: 907-351-9220
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