BRADLY PRUETT

RICHMOND, VA
NPI1073907135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126001219)
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
-- BRADLY PRUETT MS, ATC
1300 W BROAD ST
RICHMOND, VA 23284-9089
Phone number: 804-828-2321
Mailing Address
-- BRADLY PRUETT MS, ATC
7610 BETH RD APT C
HENRICO, VA 23228-3539
Phone number: 434-210-0935
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