BRADLEY DALE PERRY

CORBIN, KY
NPI1164154480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  174344)
Enumeration Date2022-06-27
Last Update Date2022-06-27
Business Address
BRADLEY DALE PERRY
60 S STEWART RD
CORBIN, KY 40701-4675
Phone number: 606-523-5855
Mailing Address
BRADLEY DALE PERRY
60 S STEWART RD
CORBIN, KY 40701-4675
Phone number: 606-523-5855
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