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1972384147
SAMUEL BRADFORD
TAYLORSVILLE, UT
NPI
1972384147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
SAMUEL BRADFORD
2496 W 4700 S
TAYLORSVILLE, UT 84129-1655
Phone number: 801-935-4171
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Mailing Address
SAMUEL BRADFORD
16255 VENTURA BLVD STE 830
ENCINO, CA 91436-2317
Phone number:
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