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Individual
MR. DAVID BRADLEY GRAVES
Active
Individual
MR. DAVID BRADLEY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403084
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403084-01
NY
Other
Enumeration date
10/13/2020
Last updated
07/03/2023
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