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1972787406
BRADLEY J LATHOM
INDIANA, PA
NPI
1972787406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-12-19
Last Update Date
2007-12-19
Business Address
-- BRADLEY J LATHOM MA
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701-1372
Phone number: 724-465-5576
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Mailing Address
-- BRADLEY J LATHOM MA
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701-1372
Phone number: 724-465-5576
Copy
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