MARGIE DIANNE BRADSHAW

BRANDON, MS
NPI1225186372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  P260448)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Ms. MARGIE DIANNE BRADSHAW LPN
823 JEFF GOODWIN ST
BRANDON, MS 39042-8763
Phone number: 601-825-7945
Mailing Address
Ms. MARGIE DIANNE BRADSHAW LPN
823 JEFF GOODWIN ST
BRANDON, MS 39042-8763
Phone number: 601-825-7945
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