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1902443047
BRAD VAMPLEW
ROYAL OAK, MI
NPI
1902443047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601009537)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
BRAD VAMPLEW PA-C
31157 WOODWARD AVE
ROYAL OAK, MI 48073-0996
Phone number: 248-336-0123
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Mailing Address
BRAD VAMPLEW PA-C
13716 LEROY ST
SOUTHGATE, MI 48195-3112
Phone number: 734-341-1671
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