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1326421801
BRADLEY WAYNE ADAMS
MANDEVILLE, LA
NPI
1326421801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: LA 083102)
Enumeration Date
2015-07-02
Last Update Date
2015-07-02
Business Address
Mr. BRADLEY WAYNE ADAMS
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-624-4100
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Mailing Address
Mr. BRADLEY WAYNE ADAMS
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-624-4100
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