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Jeanna Bradley
NPI 1376081281 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1238 W Main St
Mascoutah, IL 62258 - Phone
- (618) 328-8008
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
172V00000X
225C00000X - Sex
- Female
- Record last updated
- 2017-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois