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Individual

MR. BRADLEY GLENN HARVALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
425 FISHER ST, MARQUETTE, MI 49855-4521
(906) 226-3576
Mailing address
425 FISHER ST, MARQUETTE, MI 49855-4521
(906) 226-3576

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033897
MI

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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