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Individual

BRIDGET BRADY NAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001363
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01969071
PA
01
21308
SPECTERA
PA
01
44125
DAVIS VISION
PA
Enumeration date
09/19/2006
Last updated
07/08/2007
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