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1518093822
BRADLEY DEAN VELDSTRA
COOS BAY, OR
NPI
1518093822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD20000)
Enumeration Date
2007-02-23
Last Update Date
2007-07-09
Business Address
-- BRADLEY DEAN VELDSTRA MD
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8027
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Mailing Address
-- BRADLEY DEAN VELDSTRA MD
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8027
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