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Individual
ABIGAIL BRADLEY
Active
Individual
ABIGAIL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61518189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2280842
—
WA
Enumeration date
12/19/2023
Last updated
08/21/2026
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