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1780238014
BRADLEY DUKE ISCHINGER
WASILLA, AK
NPI
1780238014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
BRADLEY DUKE ISCHINGER PTA
6701 BLONDELL DRIVE
WASILLA, AK 99623
Phone number: 907-357-9755
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Mailing Address
BRADLEY DUKE ISCHINGER PTA
5400 W HOLLYWOOD RD
WASILLA, AK 99623-9424
Phone number: 907-203-1168
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