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1881963007
BRADLEY GENE OHS
PALMER, AK
NPI
1881963007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK LCSW 562)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
-- BRADLEY GENE OHS LCSW
349 E COTTONWOOD AVE
PALMER, AK 99645-6404
Phone number: 907-745-7799
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Mailing Address
-- BRADLEY GENE OHS LCSW
PO BOX 446
PALMER, AK 99645-0446
Phone number: 907-745-7799
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