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Gustavia Bradford
Bus in Belcher, Louisiana
NPI 1669047601

Gustavia Bradford is a Bus based in Belcher, LA. Gustavia Bradford practices in Belcher, LA. The NPI Number for Gustavia Bradford is 1669047601 and holds a License No. 005971290 (Louisiana).

The current practice location address for Gustavia Bradford is 6240 Belcher Oil City Rd, Belcher, LA and can be reached out via phone at 318-426-6976.

Location: 6240 Belcher Oil City Rd, Belcher, LA, 71004-0134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669047601
Provider Name
Gustavia Bradford
Credential
Provider Entity Type
Individual
Gender
Female
Address
6240 Belcher Oil City Rd, Belcher, LA, 71004-0134
Phone Number
318-426-6976
Fax Number
Provider Enumeration Date
05/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86-3750549 05 LA
institution
Provider Business Practice Location Address Details
Address
6240 Belcher Oil City Rd
City
Belcher
State
Louisiana
Zip
71004-7100
Phone Number
318-426-6976
Fax Number
person
Provider Business Mailing Address Details
Address
6240 Belcher Oil City Rd
City
Belcher
State
Louisiana
Zip
71004-7100
Phone Number
318-426-6976
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Bus
Speciality
-
Taxonomy
347B00000X
License No.
005971290 (Louisiana)
Definition
A public or private organization or business licensed to provide bus services.
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