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1144836891
SIDNEY BRADDOCK
ODESSA, TX
NPI
1144836891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1105591)
Enumeration Date
2020-09-18
Last Update Date
2020-09-21
Business Address
SIDNEY BRADDOCK Physical Therapist
2760 N GRANDVIEW AVE STE A
ODESSA, TX 79762-6953
Phone number: 432-552-7034
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Mailing Address
SIDNEY BRADDOCK Physical Therapist
2760 N GRANDVIEW AVE STE A
ODESSA, TX 79762-6953
Phone number: 432-552-7034
Copy
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