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1053655530
BRADLEY CLAY HORNICK
MYRTLE BEACH, SC
NPI
1053655530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Mr. BRADLEY CLAY HORNICK C.P.O.
931 MEDICAL CIR
MYRTLE BEACH, SC 29572-4122
Phone number: 843-877-5224
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Mailing Address
Mr. BRADLEY CLAY HORNICK C.P.O.
931 MEDICAL CIR
MYRTLE BEACH, SC 29572-4122
Phone number: 843-877-5224
Copy