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1861006538
DAVID BRADLEY
DETROIT, MI
NPI
1861006538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703030998)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
DAVID BRADLEY
15540 PREVOST ST
DETROIT, MI 48227-1963
Phone number: 313-915-8337
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Mailing Address
DAVID BRADLEY
15540 PREVOST ST
DETROIT, MI 48227-1963
Phone number: 313-915-8337
Copy
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