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1255571543
BRAD EDWARD MCCORMICK
CHARLESTON, WV
NPI
1255571543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002727)
Enumeration Date
2009-02-25
Last Update Date
2009-02-25
Business Address
-- BRAD EDWARD MCCORMICK DPT
4317 MACCORKLE AVE SE
CHARLESTON, WV 25304-2503
Phone number: 304-925-0377
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Mailing Address
-- BRAD EDWARD MCCORMICK DPT
4317 MACCORKLE AVE SE
CHARLESTON, WV 25304-2503
Phone number: 304-925-0377
Copy
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