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1114536737
BRADLEY MARTIN
TWIN FALLS, ID
NPI
1114536737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID 76908)
Enumeration Date
2020-07-29
Last Update Date
2024-05-08
Business Address
BRADLEY MARTIN PMHNP
358 CHENEY DR W STE 101A
TWIN FALLS, ID 83301-6484
Phone number: 208-515-2273
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Mailing Address
BRADLEY MARTIN PMHNP
358 CHENEY DR W STE 101A
TWIN FALLS, ID 83301-6484
Phone number: 208-515-2273
Copy
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