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Individual

DR. BLAIR STEPHEN BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
151 WATERLOO ST SW, AIKEN, SC 29801-3756
(803) 649-7004
(803) 649-7411
Mailing address
PO BOX 3486, AIKEN, SC 29802-3486
(803) 649-7004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3610
SC

Other

Enumeration date
12/09/2010
Last updated
10/23/2012
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