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1215287990
JONATHAN D BRADY
SPRINGFIELD, MO
NPI
1215287990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: MO 2012031847)
Enumeration Date
2012-09-11
Last Update Date
2013-02-22
Business Address
-- JONATHAN D BRADY AA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
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Mailing Address
-- JONATHAN D BRADY AA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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