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1104356609
COURTNEY LEANNE BRADLEY
COLUMBIA, SC
NPI
1104356609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
COURTNEY LEANNE BRADLEY ATC
1300 WHEAT ST
COLUMBIA, SC 29208-0001
Phone number: 803-777-0636
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Mailing Address
COURTNEY LEANNE BRADLEY ATC
1051 SOUTHERN DR UNIT 2501
COLUMBIA, SC 29201-5602
Phone number: 541-806-2315
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