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1396267738
JERMAYNE TERRELL BRADFORD
BATON ROUGE, LA
NPI
1396267738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-07
Last Update Date
2017-07-07
Business Address
JERMAYNE TERRELL BRADFORD
8786 GOODWOOD BLVD
BATON ROUGE, LA 70806-7917
Phone number: 337-254-8990
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Mailing Address
JERMAYNE TERRELL BRADFORD
6894 VINEYARD DR
BATON ROUGE, LA 70812-2151
Phone number:
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