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Individual
MR. RAYMOND BRADLEY
Active
Individual
MR. RAYMOND BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
597838
CA
163WC0200X
Critical Care Medicine Registered Nurse
597838
CA
163WC0400X
Case Management Registered Nurse
597838
CA
163WR0400X
Rehabilitation Registered Nurse
597838
CA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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