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1083881734
BRADEIGH SMITHSON GODFREY
SALT LAKE CITY, UT
NPI
1083881734
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Former Name
BRADEIGH SMITHSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 6851437-1204)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
-- BRADEIGH SMITHSON GODFREY D.O.
258 HERITAGE CTR
SALT LAKE CITY, UT 84112-2004
Phone number: 801-587-1290
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Mailing Address
-- BRADEIGH SMITHSON GODFREY D.O.
258 HERITAGE CTR
SALT LAKE CITY, UT 84112-2004
Phone number: 801-587-1290
Copy
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