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1346429750
BRADLEY DALE MOORE
SPRINGDALE, AR
NPI
1346429750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-01
Last Update Date
2007-11-01
Business Address
-- BRADLEY DALE MOORE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- BRADLEY DALE MOORE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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