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Lavora Dawn Bradley
Voluntary or Charitable Agency in Elmira, New York
NPI 1497365977

Lavora Dawn Bradley is a Voluntary or Charitable Agency based in Elmira, NY. Lavora Dawn Bradley practices in Elmira, NY. The NPI Number for Lavora Dawn Bradley is 1497365977 and holds a License No. (New York).

The current practice location address for Lavora Dawn Bradley is 1305 Maple Ave, Elmira, NY and can be reached out via phone at 607-259-2800.

Location: 1305 Maple Ave, Elmira, NY, 14904-3045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497365977
Provider Name
Lavora Dawn Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1305 Maple Ave, Elmira, NY, 14904-3045
Phone Number
607-259-2800
Fax Number
Provider Enumeration Date
08/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15433672 01 TX ID
institution
Provider Business Practice Location Address Details
Address
1305 Maple Ave
City
Elmira
State
New York
Zip
14904-3045
Phone Number
607-259-2800
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Maple Ave
City
Elmira
State
New York
Zip
14904-3045
Phone Number
607-259-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
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