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1669643045
PAUL MARTIN BRADFORD
LANCASTER, CA
NPI
1669643045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW0234)
Enumeration Date
2008-03-13
Last Update Date
2008-03-13
Business Address
-- PAUL MARTIN BRADFORD RRW
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
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Mailing Address
-- PAUL MARTIN BRADFORD RRW
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
Copy
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