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Organization

BRAVO ONE, INC.

Active
Other names
Miracle-Ear
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC CHRISTOPHER BRADLEY HIS (PRESIDENT)
(916) 772-4327
Entity
Organization

Contact information

Practice address
9700 FAIRWAY DR, SUITE 120, ROSEVILLE, CA 95678-3604
(916) 772-4327
(916) 772-4328
Mailing address
9700 FAIRWAY DR, SUITE 120, ROSEVILLE, CA 95678-3604
(916) 772-4327
(916) 772-4328

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA4140
CA

Other

Enumeration date
01/16/2013
Last updated
01/16/2013
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