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Bradley
Bradley
Orville
Physician assistant
Youngstown, United States
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Florida Health Care Practitioner Data Portal
Full name
Bradley Orville
Job Title
Physician Assistant
Location
Youngstown, OH, USA
LIC ID
13848
Current License Expiration Date
31/01/2026
Original Date
25/08/2017
Professional Rank Code
PA
Effective Date
25/08/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Apt #3
Practice Location Address Line 1
985 Churchill Hubbard Rd
Practice Location Address City
YOUNGSTOWN
Practice Location Address State
OH
Practice Location Address Zipcode
44505
Mode Code
Dispensing Practitioner, Prescribing
Prescribing Indicator
Y
Dispensing Indicator
Y
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