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1881167963
BRADLEY JAMES ALLIS
SAN DIEGO, CA
NPI
1881167963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2019-01-10
Last Update Date
2024-07-08
Business Address
BRADLEY JAMES ALLIS IDC
10229 BORDELON ST
SAN DIEGO, CA 92124-3206
Phone number: 209-401-0915
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Mailing Address
BRADLEY JAMES ALLIS IDC
10229 BORDELON ST
SAN DIEGO, CA 92124-3206
Phone number: 209-401-0915
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