LARISA BRADFORD LLC

GAINESVILLE, GA
NPI1629803754
Entity TypeOrganization
Authorized ContactLARISA VIKTROVNA RUSSELL
Owner
678-928-9212
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-09-06
Last Update Date2024-11-22
Business Address
LARISA BRADFORD LLC
808 MAIN ST SW
GAINESVILLE, GA 30501-4472
Phone number: 678-928-9212
Mailing Address
LARISA BRADFORD LLC
3478 WESTHAMPTON WAY
GAINESVILLE, GA 30506-1063
Phone number: 678-928-9212
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