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1033725866
BRADLEY DOUGLAS LIDVALL
DAVENPORT, IA
NPI
1033725866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IA 101934)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
Dr. BRADLEY DOUGLAS LIDVALL DC
2220 E 53RD ST
DAVENPORT, IA 52807-2704
Phone number: 480-200-2983
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Mailing Address
Dr. BRADLEY DOUGLAS LIDVALL DC
28010 238TH ST
LE CLAIRE, IA 52753-9126
Phone number: 480-200-2983
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