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1235151564
THOMAS LEE BRADSHAW
SAINT GEORGE, UT
NPI
1235151564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: UT 275219)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
DR. THOMAS LEE BRADSHAW DDS
754 S MAIN ST STE 7
SAINT GEORGE, UT 84770-5517
Phone number: 435-652-1605
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Mailing Address
DR. THOMAS LEE BRADSHAW DDS
754 S MAIN ST STE 7
SAINT GEORGE, UT 84770-5517
Phone number: 435-652-1605
Copy
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