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1457376824
BRADLEY SCOTT MONTGOMERY
LIVINGSTON, AL
NPI
1457376824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL 068)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
Mr. BRADLEY SCOTT MONTGOMERY ATC
UWA STATION 14
LIVINGSTON, AL 35470-0682
Phone number: 205-652-3696
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Mailing Address
Mr. BRADLEY SCOTT MONTGOMERY ATC
UWA STATION 14
LIVINGSTON, AL 35470-0682
Phone number: 205-652-3696
Copy
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