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1932671872
BRADLEY EARL DAVIS
GRAND RAPIDS, MI
NPI
1932671872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007761)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
BRADLEY EARL DAVIS MS, OTR/L
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546-8626
Phone number: 517-266-1700
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Mailing Address
BRADLEY EARL DAVIS MS, OTR/L
1819 CRYSTAL LN
ALLEGAN, MI 49010-8534
Phone number: 616-970-1515
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