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1740052034
BRADLEY DOUGLAS
COLORADO SPRINGS, CO
NPI
1740052034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
BRADLEY DOUGLAS
1330 QUAIL LAKE LOOP STE 120
COLORADO SPRINGS, CO 80906-4651
Phone number: 855-223-7123
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Mailing Address
BRADLEY DOUGLAS
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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