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1922875061
BRADLEY CHARLES ELY
VISALIA, CA
NPI
1922875061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F09230132)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
BRADLEY CHARLES ELY FNP-C
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
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Mailing Address
BRADLEY CHARLES ELY FNP-C
1735 W SEDONA AVE
VISALIA, CA 93291-8380
Phone number: 559-805-6221
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