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1710274956
TIMOTHY BRADLEY
TALKEETNA, AK
NPI
1710274956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: AK 32683)
Enumeration Date
2011-07-08
Last Update Date
2011-07-08
Business Address
-- TIMOTHY BRADLEY
14330 E SPRUCE CIRCLE
TALKEETNA, AK 99676-0984
Phone number: 907-733-8052
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Mailing Address
-- TIMOTHY BRADLEY
PO BOX 984
TALKEETNA, AK 99676-0984
Phone number: 907-733-8052
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