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1649970674
JOSHUA BRADLEY
BOISE, ID
NPI
1649970674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID 2000051184)
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
JOSHUA BRADLEY ATC
6051 W EMERALD ST
BOISE, ID 83704
Phone number: 208-302-5150
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Mailing Address
JOSHUA BRADLEY ATC
6975 W. PREECE LANE APT 102
BOISE, ID 83704
Phone number: 425-269-5885
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