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1043598477
BRADLY KENNETH LEROY BROWN
IDAHO FALLS, ID
NPI
1043598477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID PA965)
Enumeration Date
2011-08-03
Last Update Date
2016-09-13
Business Address
MR. BRADLY KENNETH LEROY BROWN PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
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Mailing Address
MR. BRADLY KENNETH LEROY BROWN PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
Copy
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