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1346839206
BRADLEY SCARBOROUGH
PUEBLO, CO
NPI
1346839206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO CP003218A)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
Mr. BRADLEY SCARBOROUGH LPTA
2611 JONES AVE
PUEBLO, CO 81004-2650
Phone number: 719-564-1735
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Mailing Address
Mr. BRADLEY SCARBOROUGH LPTA
904 POPLAR DR
BRANDON, MS 39042-2906
Phone number: 601-278-9985
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