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1972805802
BRADFORD CLINTON BUDDENBERG
CHARLESTON, WV
NPI
1972805802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 66365)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
Mr. BRADFORD CLINTON BUDDENBERG CRNA
2215 SMITH RD
CHARLESTON, WV 25314-2110
Phone number: 304-346-7313
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Mailing Address
Mr. BRADFORD CLINTON BUDDENBERG CRNA
520 HAYES ST
MORGANTOWN, WV 26501-6812
Phone number: 304-228-5040
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