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1487854014
BRADFORD A TRACY
ST CHARLES, IL
NPI
1487854014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013634)
Enumeration Date
2007-07-22
Last Update Date
2009-08-03
Business Address
-- BRADFORD A TRACY P.T.
2900 FOXFIELD RD SUITE 205
ST CHARLES, IL 60174-5799
Phone number: 630-797-4343
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Mailing Address
-- BRADFORD A TRACY P.T.
2900 FOXFIELD RD SUITE 205
ST CHARLES, IL 60174-5799
Phone number: 630-797-4343
Copy
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