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1497054084
BRADLEY JOSEPH PORTER
OAKLAND, CA
NPI
1497054084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 735174)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
Mr. BRADLEY JOSEPH PORTER R.N.
5306 FOOTHILL BLVD
OAKLAND, CA 94601-5514
Phone number: 702-759-2710
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Mailing Address
Mr. BRADLEY JOSEPH PORTER R.N.
5306 FOOTHILL BLVD
OAKLAND, CA 94601-5514
Phone number: 702-759-2710
Copy
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