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1013256221
MITCHELL R BRADLEY
DETROIT, MI
NPI
1013256221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704277636)
Enumeration Date
2013-02-07
Last Update Date
2013-02-07
Business Address
-- MITCHELL R BRADLEY CRNA
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-7600
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Mailing Address
-- MITCHELL R BRADLEY CRNA
4676 DEPARTMENT
CAROL STREAM, IL 60122-4676
Phone number: 952-442-9770
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