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1447547518
BRADLEY STEVEN FRUIT
PORTLAND, OR
NPI
1447547518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-08
Last Update Date
2018-03-15
Business Address
MR. BRADLEY STEVEN FRUIT MBA
55 SE GRAND AVE
PORTLAND, OR 97232
Phone number: 503-954-4452
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Mailing Address
MR. BRADLEY STEVEN FRUIT MBA
1080 MARINA VILLAGE PKWY SUITE 100
ALAMEDA, CA 94501-6427
Phone number: 503-954-4452
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