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1932249588
J DOUGLAS BRADLEY
PUEBLO, CO
NPI
1932249588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 35663)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Dr. J DOUGLAS BRADLEY M.D.
4117 N ELIZABETH ST
PUEBLO, CO 81008-2009
Phone number: 719-545-0788
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Mailing Address
Dr. J DOUGLAS BRADLEY M.D.
3190 BRECKENRIDGE DR W
COLORADO SPRINGS, CO 80906-4539
Phone number: 719-540-5655
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