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1588014211
BRADLEY PENDLEY
FORT CAMPBELL, KY
NPI
1588014211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- BRADLEY PENDLEY
BLDG 2441 21ST STREET US ARMY DENTAL ACTIVITY
FORT CAMPBELL, KY 42223
Phone number: 270-798-8977
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Mailing Address
-- BRADLEY PENDLEY
BLDG 2441 21ST STREET US ARMY DENTAL ACTIVITY
FORT CAMPBELL, KY 42223
Phone number: 270-798-8977
Copy
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