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1184715344
BRADLEY KENNETH DAVIDSON
LEBANON, PA
NPI
1184715344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD 060421L)
Enumeration Date
2006-09-27
Last Update Date
2007-07-09
Business Address
Dr. BRADLEY KENNETH DAVIDSON M.D.
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
Dr. BRADLEY KENNETH DAVIDSON M.D.
14 OLD ENGLISH LN
ELIZABETHTOWN, PA 17022-1251
Phone number: 717-272-6621
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