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1194924969
BRADNER J LAWRENCE
MARANA, AZ
NPI
1194924969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D4597)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- BRADNER J LAWRENCE DDS
12610 WEST SILVERBELL RD
MARANA, AZ 85653
Phone number: 520-616-4562
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Mailing Address
-- BRADNER J LAWRENCE DDS
12325 E SUTTER MILL ST
TUCSON, AZ 85749
Phone number:
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