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Individual

BRADLEY THOMAS DICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3413 SAVANNAH LN APT 1312, WEST SACRAMENTO, CA 95691-5983
(916) 274-1375
Mailing address
3413 SAVANNAH LN APT 1312, WEST SACRAMENTO, CA 95691-5983
(916) 274-1375

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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