Individual
BEVERLY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
559 MAIN ST, RIPLEY, OH 45167-1242
(937) 618-0600
Mailing address
559 MAIN ST, RIPLEY, OH 45167-1242
(937) 618-0600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 070586
OH
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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