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1821317454
KEVIN JAMAL BRADLEY
INGLEWOOD, CA
NPI
1821317454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
-- KEVIN JAMAL BRADLEY
509 S FLOWER ST APT 2
INGLEWOOD, CA 90301-2881
Phone number: 323-424-9622
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Mailing Address
-- KEVIN JAMAL BRADLEY
509 S FLOWER ST APT 2
INGLEWOOD, CA 90301-2881
Phone number: 323-424-9622
Copy
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