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1316700966
BRADLEY ROTH
IRVINE, CA
NPI
1316700966
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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
2024-02-05
Last Update Date
2024-02-05
Business Address
BRADLEY ROTH
836 HEALTH SCIENCES RD
IRVINE, CA 92617-3058
Phone number: 949-824-6138
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Mailing Address
BRADLEY ROTH
2658 SCRANTON RD APT 108
CLEVELAND, OH 44113-5113
Phone number: 203-848-8233
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