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Individual
BRADLEY A NYMEYER
Active
Individual
BRADLEY A NYMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC207357
OR
171100000X
Acupuncturist
U02713
MD
225700000X
Massage Therapist
10989
OR
225700000X
Massage Therapist
6010
OR
Other
Enumeration date
08/11/2008
Last updated
12/17/2021
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