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1477249993
JORDAN H BRADSHAW
ROME, GA
NPI
1477249993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
JORDAN H BRADSHAW DO
304 SHORTER AVE NW STE 201
ROME, GA 30165-4256
Phone number: 706-509-3300
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Mailing Address
JORDAN H BRADSHAW DO
304 SHORTER AVE NW STE 201
ROME, GA 30165-4256
Phone number: 706-509-3300
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