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Individual
JAMES RANDOLPH BRADFORD
Active
Individual
JAMES RANDOLPH BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9611
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452213
—
TN
Enumeration date
06/13/2005
Last updated
02/09/2012
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