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Individual
BRADLEY EARNEST
Active
Individual
BRADLEY EARNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT015872
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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