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1184713505
JERRY L BRADLEY
EDENTON, NC
NPI
1184713505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NC 5267)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. JERRY L BRADLEY DDS
512 COKE AVENUE
EDENTON, NC 27932
Phone number: 252-482-1080
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Mailing Address
Dr. JERRY L BRADLEY DDS
PO BOX 552
EDENTON, NC 27932
Phone number: 252-482-1080
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