Individual
MR. RUSSELL E. BRADLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19803 VENTURA DR, LAWRENCEBURG, IN 47025-8839
(513) 615-8146
(513) 202-1371
Mailing address
19803 VENTURA DR, LAWRENCEBURG, IN 47025-8839
(513) 615-8146
(513) 202-1371
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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