Individual
BRADLEY DAVID VIPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
14188 MOTHER THERESA LN, BOYS TOWN, NE 68010-7554
(402) 498-3025
(402) 964-7150
Mailing address
14188 MOTHER THERESA LN, BOYS TOWN, NE 68010-7554
(402) 498-3025
(402) 964-7150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11790
NE
Other
Enumeration date
03/14/2019
Last updated
08/30/2021
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