person
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. You can also correspond with Lavora Dawn Bradley through the mailing address at 1305 MAPLE AVE, ELMIRA, NY - 14904-3045 (mailing address contact number: 607-259-2800).

Location: 1305 Maple Ave, Elmira, NY, 14904-3045
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
State
Zip
14904-3045
Phone Number
607-259-2800
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Maple Ave
City
State
Zip
14904-3045
Phone Number
607-259-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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