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1174156699
SAMUEL BRADY
CHEYENNE, WY
NPI
1174156699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY PA1252)
Enumeration Date
2020-02-13
Last Update Date
2024-09-16
Business Address
SAMUEL BRADY PA-C
2301 HOUSE AVE STE 201
CHEYENNE, WY 82001-3177
Phone number: 307-638-7757
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Mailing Address
SAMUEL BRADY PA-C
PO BOX 20970
CHEYENNE, WY 82003-7020
Phone number: 307-996-4777
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