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1437224854
BRADLEY JAY VANGORKOM
CEDAR RAPIDS, IA
NPI
1437224854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IA 06248)
Enumeration Date
2006-11-21
Last Update Date
2019-01-03
Business Address
BRADLEY JAY VANGORKOM MSW LISW
1935 1ST AVE SE SUITE D
CEDAR RAPIDS, IA 52402-5325
Phone number: 319-531-1158
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Mailing Address
BRADLEY JAY VANGORKOM MSW LISW
1935 1ST AVE SE SUITE D
CEDAR RAPIDS, IA 52402-5325
Phone number: 319-531-1158
Copy
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