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1336661321
LOGAN BRADLEY
IDAHO FALLS, ID
NPI
1336661321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2017-07-11
Last Update Date
2020-05-13
Business Address
LOGAN BRADLEY DPT
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404-8310
Phone number: 208-523-8879
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Mailing Address
LOGAN BRADLEY DPT
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404-8310
Phone number: 208-523-8879
Copy
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