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1831707249
BART JEROME BRADFORD
VIDALIA, LA
NPI
1831707249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
Mr. BART JEROME BRADFORD
401 LYNN ST STE A
VIDALIA, LA 71373-3806
Phone number: 614-519-1615
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Mailing Address
Mr. BART JEROME BRADFORD
421 MYRTLE ST
VIDALIA, LA 71373-3824
Phone number: 614-519-1615
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