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1275517765
BRADLEY JAMES NUCKELS
CALIFORNIA, PA
NPI
1275517765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2005-11-30
Last Update Date
2008-04-11
Business Address
Mr. BRADLEY JAMES NUCKELS
1152 WOOD ST
CALIFORNIA, PA 15419-1260
Phone number: 724-938-2099
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Mailing Address
Mr. BRADLEY JAMES NUCKELS
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333-2114
Phone number: 724-632-6801
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