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1174980544
BRANDY BRADSHAW
CLINTON, MO
NPI
1174980544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2003026467)
Enumeration Date
2016-01-15
Last Update Date
2016-01-20
Business Address
-- BRANDY BRADSHAW
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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Mailing Address
-- BRANDY BRADSHAW
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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