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Individual
BRADLEY VERNON NORTHRUP
Active
Individual
BRADLEY VERNON NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5324
MN
Other
Enumeration date
10/07/2009
Last updated
04/26/2010
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