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1972747574
BRADLEY BRADSHAW
SPRINGFIELD, MO
NPI
1972747574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MO R5G73)
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- BRADLEY BRADSHAW M.D.
1904 S SHADY HILL LN
SPRINGFIELD, MO 65809-2601
Phone number: 417-860-9044
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Mailing Address
-- BRADLEY BRADSHAW M.D.
1904 S SHADY HILL LN
SPRINGFIELD, MO 65809-2601
Phone number: 417-860-9044
Copy
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