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Individual
DONNA E BRADLEY-GENTRY
Active
Individual
DONNA E BRADLEY-GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
575062
TX
363LF0000X
Family Nurse Practitioner
Primary
575062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N4488
BCBSTX
TX
Enumeration date
07/21/2006
Last updated
01/20/2012
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