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Organization
KASHONDA BRADFORD
Active
Organization
KASHONDA BRADFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASHONDA JUANITA BRADFORD (LVN)
(832) 581-8556
Entity
Organization
Contact information
Practice address
19263 SANDELFORD DR, KATY, TX 77449-4150
(832) 581-8556
Mailing address
PO BOX 2362, CLARKSVILLE, IN 47131-2362
(832) 581-8556
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/28/2010
Last updated
07/19/2013
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