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1164644647
BRADFORD JOHNSON
CHICAGO, IL
NPI
1164644647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: IL 019018453)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- BRADFORD JOHNSON DDS
801 S PAULINA ST MC 621
CHICAGO, IL 60612-7210
Phone number: 312-355-1661
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Mailing Address
-- BRADFORD JOHNSON DDS
801 S PAULINA ST MC 621
CHICAGO, IL 60612-7210
Phone number: 312-355-1661
Copy
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