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1245430602
BRADLEY WADE LORD
OCALA, FL
NPI
1245430602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 9189417)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
MR. BRADLEY WADE LORD C.R.N.A.
1500 SW 1ST AVE
OCALA, FL 34471-6504
Phone number: 352-237-2400
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Mailing Address
MR. BRADLEY WADE LORD C.R.N.A.
7930 SW 84TH WAY
GAINESVILLE, FL 32608-6129
Phone number: 352-376-1921
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