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Individual

JEFFREY BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
454 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-6162
(903) 757-7722
Mailing address
454 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-6162
(903) 757-7722

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8337
TX

Other

Enumeration date
11/02/2006
Last updated
07/09/2007
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