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Individual
BRADFORD LYLE MITCHELL
Active
Individual
BRADFORD LYLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
52304
TN
Other
Enumeration date
05/04/2011
Last updated
12/14/2015
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