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Individual

HENRIETTA BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3306 LYNDALE AVE N, MINNEAPOLIS, MN 55412-2554
(612) 354-2629
Mailing address
14708 CARRIAGE PLACE DR, BURNSVILLE, MN 55306-5013
(612) 308-0344

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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