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1992166177
KRIS RYAN BRADSHAW
WEST PLAINS, MO
NPI
1992166177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-03-15
Last Update Date
2016-03-15
Business Address
-- KRIS RYAN BRADSHAW
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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Mailing Address
-- KRIS RYAN BRADSHAW
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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