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1811949555
BRADLEY KEITH JOHNSON
MONTGOMERY, AL
NPI
1811949555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1071412)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- BRADLEY KEITH JOHNSON CRNA
2105 EAST SOUTH BLVD
MONTGOMERY, AL 36116
Phone number: 334-288-2100
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Mailing Address
-- BRADLEY KEITH JOHNSON CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number: 334-386-2051
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