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Individual

MS. VALERIE ROSE BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13830 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 589-6222
(772) 589-6355
Mailing address
13830 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 589-6222
(772) 589-6355

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
630163100
FL
Enumeration date
10/27/2006
Last updated
07/30/2008
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