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1508413709
JONATHAN DEE BRADSHAW
TWIN FALLS, ID
NPI
1508413709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6465)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
JONATHAN DEE BRADSHAW DPT,PT
243 CHENEY DR W
TWIN FALLS, ID 83301-4277
Phone number: 208-329-7667
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Mailing Address
JONATHAN DEE BRADSHAW DPT,PT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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