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Individual
AMALIA BRADBURN
Active
Individual
AMALIA BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0010574
STATE LICENSE
MD
01
—
PA200002543
STATE LICENSE
DC
Enumeration date
05/27/2026
Last updated
07/06/2026
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