Individual
BRADLEY JASON DEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
302 CHRISTIANA ST, CRANE, MO 65633-9107
(417) 844-4252
Mailing address
302 CHRISTIANA ST, CRANE, MO 65633-9107
(417) 844-4252
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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