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1508681610
BRADIE BRODHECKER
ONTARIO, OR
NPI
1508681610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
BRADIE BRODHECKER
279 SW 10TH ST
ONTARIO, OR 97914-2135
Phone number: 541-709-3059
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Mailing Address
BRADIE BRODHECKER
279 SW 10TH ST
ONTARIO, OR 97914-2135
Phone number: 541-709-3059
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