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1356347884
BRADLEY C BLACK
JEFFERSONVILLE, IN
NPI
1356347884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IN 01027732A)
Enumeration Date
2005-06-21
Last Update Date
2008-05-12
Business Address
BRADLEY C BLACK MD
302 W 14TH ST STE 100
JEFFERSONVILLE, IN 47130-3751
Phone number: 812-284-0660
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Mailing Address
BRADLEY C BLACK MD
302 W 14TH ST STE 100
JEFFERSONVILLE, IN 47130-3751
Phone number: 812-284-0660
Copy
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