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Individual

BRADLEY RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATS

Contact information

Practice address
1327 SHAWNEE RD, INDIANAPOLIS, IN 46260-4076
(317) 997-6413
Mailing address
1327 SHAWNEE RD, INDIANAPOLIS, IN 46260-4076
(317) 997-6413

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OH

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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