LARISA BRADFORD LLC

GAINESVILLE, GA
NPI1629803754
Entity TypeOrganization
Authorized ContactLARISA RUSSELL
Owner/Medical Doctor
404-808-6071
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-09-06
Last Update Date2025-01-23
Business Address
LARISA BRADFORD LLC
808 MAIN ST SW
GAINESVILLE, GA 30501-4472
Phone number: 404-808-6071
Mailing Address
LARISA BRADFORD LLC
808 MAIN ST SW
GAINESVILLE, GA 30501-4472
Phone number: 404-808-6071
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