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Bradley
Bradley
Wilson
Osteopathic physician
Family medicine
Fort Myers,
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Florida Health Care Practitioner Data Portal
Full name
Bradley Wilson
Job Title
Osteopathic Physician
Location
Fort Myers, FL, USA
LIC ID
14447
Current License Expiration Date
31/03/2024
Original Date
20/06/2017
Professional Rank Code
OS
Effective Date
20/06/2017
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEE
Practice Location Address Line 1
4771 S Cleveland Ave
Practice Location Address City
FORT MYERS
Practice Location Address State
FL
Practice Location Address Zipcode
33907
Prescribing Indicator
N
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