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Individual
TRUDY ANN BRADLEY
Active
Individual
TRUDY ANN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN277163
PA
164W00000X
Licensed Practical Nurse
PNW00000X
PA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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