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1629803754
LARISA BRADFORD LLC
GAINESVILLE, GA
NPI
1629803754
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Entity Type
Organization
Authorized Contact
LARISA RUSSELL
Owner/Medical Doctor
404-808-6071
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-09-06
Last Update Date
2025-01-23
Business Address
LARISA BRADFORD LLC
808 MAIN ST SW
GAINESVILLE, GA 30501-4472
Phone number: 404-808-6071
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Mailing Address
LARISA BRADFORD LLC
808 MAIN ST SW
GAINESVILLE, GA 30501-4472
Phone number: 404-808-6071
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