BRADLEY LAROSE

SAN LUIS OBISPO, CA
NPI1669641007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-02-28
Last Update Date2008-02-28
Business Address
Mr. BRADLEY LAROSE
2176 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-5375
Mailing Address
Mr. BRADLEY LAROSE
2176 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-5375
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