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1841235173
ROGER B BRADSHAW
TALENT, OR
NPI
1841235173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 2192)
Enumeration Date
2006-06-19
Last Update Date
2019-02-01
Business Address
ROGER B BRADSHAW
223 WINTERSAGE CIR UNIT A
TALENT, OR 97540-9515
Phone number: 541-482-3126
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Mailing Address
ROGER B BRADSHAW
223 WINTERSAGE CIR UNIT A
TALENT, OR 97540-9566
Phone number: 541-482-3126
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