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1477555613
MARK LARSEN BRADFORD
CHICO, CA
NPI
1477555613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36646)
Enumeration Date
2005-06-01
Last Update Date
2007-07-11
Business Address
Dr. MARK LARSEN BRADFORD D.D.S.
2545 CEANOTHUS AVE STE 138
CHICO, CA 95973-7611
Phone number: 530-342-7974
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Mailing Address
Dr. MARK LARSEN BRADFORD D.D.S.
2545 CEANOTHUS AVE STE 138
CHICO, CA 95973-7611
Phone number: 530-342-7974
Copy
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