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1972901437
BRADLEY JENSEN
SALT LAKE CITY, UT
NPI
1972901437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: UT 9045224-2401)
Enumeration Date
2014-12-16
Last Update Date
2014-12-16
Business Address
-- BRADLEY JENSEN DPT
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2221
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Mailing Address
-- BRADLEY JENSEN DPT
1136 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2221
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