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1205478914
SPENCER A BRADFORD
BALTIMORE, MD
NPI
1205478914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-10-14
Last Update Date
2021-01-14
Business Address
Mr. SPENCER A BRADFORD PA-S2
620 W LEXINGTON ST
BALTIMORE, MD 21201-1508
Phone number: 970-978-7005
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Mailing Address
Mr. SPENCER A BRADFORD PA-S2
201 LAMKIN ST APT 101
PUEBLO, CO 81003-3558
Phone number: 719-543-6633
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