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1679168801
BRADFORD COLLETT
MERIDIAN, ID
NPI
1679168801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-6829)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
BRADFORD COLLETT PT, DPT
1739 S JADE WAY STE 100
MERIDIAN, ID 83642-4464
Phone number: 208-207-5454
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Mailing Address
BRADFORD COLLETT PT, DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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