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1275142986
BRADLEY OPHOFF
FORT WAYNE, IN
NPI
1275142986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
BRADLEY OPHOFF
1819 CAREW ST
FORT WAYNE, IN 46805-4705
Phone number: 805-570-2260
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Mailing Address
BRADLEY OPHOFF
1819 CAREW ST
FORT WAYNE, IN 46805-4705
Phone number:
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