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1629584917
BRADLEY ALLEN IRVIN
MORRISTOWN, TN
NPI
1629584917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 3029)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-12-21
Last Update Date
2023-06-14
Business Address
BRADLEY ALLEN IRVIN
4185 WILLOW WAY
MORRISTOWN, TN 37814-1611
Phone number: 423-248-4972
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Mailing Address
BRADLEY ALLEN IRVIN
4185 WILLOW WAY
MORRISTOWN, TN 37814-1611
Phone number:
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