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1356327852
BRADLEY JAY LOUIS
COLORADO SPRINGS, CO
NPI
1356327852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CO 1764)
Enumeration Date
2005-12-16
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY JAY LOUIS OD
750 CITADEL DR E #2300
COLORADO SPRINGS, CO 80909-5327
Phone number: 719-598-1392
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Mailing Address
Dr. BRADLEY JAY LOUIS OD
32 LEISURE LN
WOODLAND PARK, CO 80863-8702
Phone number: 719-231-8182
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