BLAIN W BRADFORD

GUNNISON, UT
NPI1669426573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  107004-4201)
Enumeration Date2006-05-22
Last Update Date2014-05-07
Business Address
-- BLAIN W BRADFORD OT
13 E CENTER
GUNNISON, UT 84634
Phone number: 435-660-1523
Mailing Address
-- BLAIN W BRADFORD OT
PO BOX 396
GUNNISON, UT 84634-0396
Phone number: 435-528-7575
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