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Individual

MR. BRADLEY IAN FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5617 HIGHWAY 153, SUITE 201, HIXSON, TN 37343-4675
(423) 648-0257
(423) 648-0263
Mailing address
5617 HIGHWAY 153, SUITE 201, HIXSON, TN 37343-4675
(423) 648-0257
(423) 648-0263

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2476
TN
111N00000X
Chiropractor
Primary
CHIR008548
GA

Other

Enumeration date
09/11/2009
Last updated
11/10/2010
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