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1427106764
LISA LAVERNE BRADLEY
LOS ANGELES, CA
NPI
1427106764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA CA13997)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Prof. LISA LAVERNE BRADLEY PA-C
3831 STOCKER ST
LOS ANGELES, CA 90008-5103
Phone number: 323-291-6234
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Mailing Address
Prof. LISA LAVERNE BRADLEY PA-C
2823 E 7TH ST APT. 8
LONG BEACH, CA 90804-4803
Phone number: 562-225-0450
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