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1427395383
BRADLEY ALAN DAMRON
LOUISVILLE, KY
NPI
1427395383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002268A)
Enumeration Date
2013-01-12
Last Update Date
2013-01-12
Business Address
-- BRADLEY ALAN DAMRON
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- BRADLEY ALAN DAMRON
6700 W 24TH AVE
GARY, IN 46406-2424
Phone number: 219-455-1769
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