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Individual
DR. BRADLEY GLEN CRUMP
Active
Individual
DR. BRADLEY GLEN CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
363699-1202
UT
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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