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1649735747
BRADFORD DANIEL LOGUE
MIDDLETOWN, DE
NPI
1649735747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0004034)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
BRADFORD DANIEL LOGUE
210 CLEAVER FARMS RD STE 1
MIDDLETOWN, DE 19709-1670
Phone number: 302-449-2048
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Mailing Address
BRADFORD DANIEL LOGUE
1050 INDUSTRIAL RD STE 210
MIDDLETOWN, DE 19709-2803
Phone number: 302-449-2048
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