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Individual

BRADLEY MICHAEL SUNDSBOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2508 W BROADWAY, COUNCIL BLUFFS, IA 51501-3509
(402) 861-6966
Mailing address
2508 W BROADWAY, COUNCIL BLUFFS, IA 51501-3509
(712) 328-2266

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15313
NE
183500000X
Pharmacist
22832
IA

Other

Enumeration date
10/15/2016
Last updated
09/29/2024
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