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1669877387
BRADLEY HENNINGSGAARD
DURHAM, NC
NPI
1669877387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06919)
Enumeration Date
2014-10-23
Last Update Date
2022-02-24
Business Address
BRADLEY HENNINGSGAARD PA-C
2301 ERWIN RD DEPARTMENT OF RADIOLOGY
DURHAM, NC 27710-1645
Phone number: 919-684-7284
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Mailing Address
BRADLEY HENNINGSGAARD PA-C
5345 SILVER MOON LN
RALEIGH, NC 27606-4534
Phone number: 512-426-1814
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