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1538361456
CHARLES PEDIGO BRADSHAW
FRANKFORT, KY
NPI
1538361456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 4154)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Dr. CHARLES PEDIGO BRADSHAW DMD
220 CONWAY ST SUITE 2
FRANKFORT, KY 40601-2748
Phone number: 502-223-4120
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Mailing Address
Dr. CHARLES PEDIGO BRADSHAW DMD
220 CONWAY ST SUITE 2
FRANKFORT, KY 40601-2748
Phone number: 502-223-4120
Copy
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