BRADLEY ALEN SANDS

EDWARDSVILLE, IL
NPI1265993646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209019065)
Enumeration Date2019-03-27
Last Update Date2020-07-15
Business Address
BRADLEY ALEN SANDS
1188 SOUTH STATE ROUTE 157
EDWARDSVILLE, IL 62025
Phone number: 618-220-1234
Mailing Address
BRADLEY ALEN SANDS
20 CORVETTE DR
LITCHFIELD, IL 62056-1038
Phone number: 217-324-3400
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