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1306595020
MISTI DAWN BRYANT BRADSHAW
LONGVIEW, WA
NPI
1306595020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1044452)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
MISTI DAWN BRYANT BRADSHAW NP
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
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Mailing Address
MISTI DAWN BRYANT BRADSHAW NP
327 HILLSHORE DR
LONGVIEW, TX 75605-7060
Phone number: 903-241-6203
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