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1518167741
BRADLEY S BAUER
LOUDON, TN
NPI
1518167741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT0000002648)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
Mr. BRADLEY S BAUER O.T.
1125 GROVE ST STE 120
LOUDON, TN 37774-3251
Phone number: 865-458-8080
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Mailing Address
Mr. BRADLEY S BAUER O.T.
1125 GROVE ST STE 120
LOUDON, TN 37774-3251
Phone number: 865-458-8080
Copy
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