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1386209682
BRADLEY JAMES LOVE
GASTONIA, NC
NPI
1386209682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NC 2292)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
BRADLEY JAMES LOVE PTA
969 COX RD
GASTONIA, NC 28054-3455
Phone number: 704-866-0857
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Mailing Address
BRADLEY JAMES LOVE PTA
PO BOX 1813
CONCORD, NC 28026-1813
Phone number: 704-787-4863
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