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1043362296
LARRY JOE BRIDWELL
OAKLAND, CA
NPI
1043362296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 547388)
Enumeration Date
2007-01-17
Last Update Date
2022-02-11
Business Address
Mr. LARRY JOE BRIDWELL FNP
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-0164
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Mailing Address
Mr. LARRY JOE BRIDWELL FNP
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-0164
Copy
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