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1811740939
BRADLEY RUSSELL HEATER
LOUISA, KY
NPI
1811740939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
BRADLEY RUSSELL HEATER
502 N LACKEY AVE
LOUISA, KY 41230-1206
Phone number: 606-483-1990
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Mailing Address
BRADLEY RUSSELL HEATER
100 SHORT ST
LOUISA, KY 41230-1275
Phone number: 502-705-4891
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