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1588020309
BRADLEY COLE
IDAHO FALLS, ID
NPI
1588020309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1670A)
Enumeration Date
2016-01-08
Last Update Date
2016-01-19
Business Address
-- BRADLEY COLE NP
1995 E 17TH ST STE 2
IDAHO FALLS, ID 83404-6493
Phone number: 208-419-2541
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Mailing Address
-- BRADLEY COLE NP
3046 JACKIE CT
IDAHO FALLS, ID 83402-5568
Phone number: 208-419-2541
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