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1669151130
MICHAEL KRISTIAN BRADFORD
SHREVEPORT, LA
NPI
1669151130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 231552)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
MICHAEL KRISTIAN BRADFORD ACNPC-AG
7829 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-797-8777
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Mailing Address
MICHAEL KRISTIAN BRADFORD ACNPC-AG
2624 PALMETTO DR
BOSSIER CITY, LA 71111-2031
Phone number: 318-455-0061
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