JESSE G BRADSHAW

BURLEY, ID
NPI1821579012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA1467)
Enumeration Date2018-08-24
Last Update Date2018-12-13
Business Address
JESSE G BRADSHAW PA-C
1252 BENNETT AVE STE B
BURLEY, ID 83318-2664
Phone number: 208-647-0656
Mailing Address
JESSE G BRADSHAW PA-C
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301-4278
Phone number: 208-647-0656
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