Individual
MRS. ALICIA CAROL BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
(580) 323-9375
Mailing address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
(580) 323-9375
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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