BRADLEY DALE PEARSON

IDAHO FALLS, ID
NPI1184950016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  PT-1125)
Enumeration Date2009-10-28
Last Update Date2009-10-28
Business Address
-- BRADLEY DALE PEARSON MPT
720 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-552-5025
Mailing Address
-- BRADLEY DALE PEARSON MPT
720 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-552-5025
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