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1417676701
ADELAIDE TAYLOR BRADFORD
NAMPA, ID
NPI
1417676701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-5458)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
ADELAIDE TAYLOR BRADFORD MS, CCC-SLP
101 11TH AVE S STE 155
NAMPA, ID 83651-3918
Phone number: 208-466-1077
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Mailing Address
ADELAIDE TAYLOR BRADFORD MS, CCC-SLP
1513 BRAMBLE RIDGE RD
ANDERSON, SC 29621-2066
Phone number: 864-556-5255
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