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1245819705
BRADLEY KING
SAN JOSE, CA
NPI
1245819705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
BRADLEY KING
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5110
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Mailing Address
BRADLEY KING
4352 CONRAD AVE
SAN DIEGO, CA 92117-1913
Phone number: 805-443-2723
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