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1497853220
BRADLEY JAY MORLOCK
LEWISTON, ID
NPI
1497853220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: ID D2072PE)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- BRADLEY JAY MORLOCK D.D.S.
3323 4TH ST
LEWISTON, ID 83501-4423
Phone number: 208-743-1114
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Mailing Address
-- BRADLEY JAY MORLOCK D.D.S.
3323 4TH ST
LEWISTON, ID 83501-4423
Phone number: 208-743-1114
Copy
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