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1699229112
BODEN BRADLEY
ROSEVILLE, CA
NPI
1699229112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56390)
Enumeration Date
2016-08-12
Last Update Date
2021-06-15
Business Address
BODEN BRADLEY PA-C
3005 DOUGLAS BLVD STE 105
ROSEVILLE, CA 95661-3885
Phone number: 916-742-7718
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Mailing Address
BODEN BRADLEY PA-C
3005 DOUGLAS BLVD STE 105
ROSEVILLE, CA 95661-3885
Phone number: 916-742-7718
Copy
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