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1164524658
BRADY MATTHEW WIRICK
IDAHO FALLS, ID
NPI
1164524658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NN0400X Chiropractor, Neurology
(Licence: ID CHIA1203)
Enumeration Date
2006-09-04
Last Update Date
2007-10-19
Business Address
Dr. BRADY MATTHEW WIRICK D,C,
1542 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-523-1620
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Mailing Address
Dr. BRADY MATTHEW WIRICK D,C,
1542 ELK CREEK
IDAHO FALLS, ID 83404
Phone number: 208-523-1620
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