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1962995639
KISHA NICOLE BRADLEY
BALTIMORE, MD
NPI
1962995639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R220798)
Enumeration Date
2018-06-07
Last Update Date
2018-10-03
Business Address
KISHA NICOLE BRADLEY FNP-C
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-7877
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Mailing Address
KISHA NICOLE BRADLEY FNP-C
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8040
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