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1255684379
BRADLEY RAY BOGGESS
KANSAS CITY, MO
NPI
1255684379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2009004521)
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
-- BRADLEY RAY BOGGESS
6301 N. LUCERNE
KANSAS CITY, MO 64151-3105
Phone number: 816-569-1802
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Mailing Address
-- BRADLEY RAY BOGGESS
6301 N. LUCERNE
KANSAS CITY, MO 64151-3105
Phone number: 816-569-1802
Copy
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