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1275032914
BRADLEY DAVID BOOTHE
TROY, OH
NPI
1275032914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.022278)
Enumeration Date
2018-02-08
Last Update Date
2022-05-16
Business Address
BRADLEY DAVID BOOTHE CNP
998 S DORSET RD
TROY, OH 45373-4753
Phone number: 937-440-7358
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Mailing Address
BRADLEY DAVID BOOTHE CNP
998 S DORSET RD
TROY, OH 45373-4753
Phone number: 937-440-7358
Copy
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