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Individual

MARK J BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
108 S MAIN ST, MUNROE FALLS, OH 44262-1638
(330) 686-1300
(330) 686-9809
Mailing address
108 S MAIN ST, MUNROE FALLS, OH 44262-1638
(330) 686-1300
(330) 686-9809

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2526
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2349882
OH
Enumeration date
07/29/2005
Last updated
11/29/2011
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