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1588660773
LEE W BRADSHAW
OGDEN, UT
NPI
1588660773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health
(Licence: UT 6242996-4405)
Enumeration Date
2005-06-22
Last Update Date
2022-07-12
Business Address
MR. LEE W BRADSHAW APRN
3903 HARRISON BLVD #300
OGDEN, UT 84403-8440
Phone number: 801-387-4930
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Mailing Address
MR. LEE W BRADSHAW APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5600
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