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Individual
MR. JOHN EARL BRADFORD JR.
Active
Individual
MR. JOHN EARL BRADFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
11/24/2020
Last updated
05/14/2025
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