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Individual

DANNY EDWARD BRADLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 796-0805
Mailing address
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 796-0805

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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