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Individual
TONYA BRADFORD
Active
Individual
TONYA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2542
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100649160A
—
OK
Enumeration date
09/19/2011
Last updated
11/14/2013
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