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1972816593
KACY LEE BRADSHAW
SALEM, OR
NPI
1972816593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: OR 201050101NP)
Enumeration Date
2010-07-24
Last Update Date
2010-07-24
Business Address
Mrs. KACY LEE BRADSHAW NNP
939 OAK ST SE
SALEM, OR 97301-3901
Phone number: 503-814-3561
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Mailing Address
Mrs. KACY LEE BRADSHAW NNP
PO BOX 14001
SALEM, OR 97309-5014
Phone number: 503-561-2490
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