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1992214670
JACOB BRADFORD
MIDLAND, TX
NPI
1992214670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
JACOB BRADFORD
3209 COURTYARD DR STE L
MIDLAND, TX 79705-3276
Phone number: 432-269-0526
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Mailing Address
JACOB BRADFORD
3209 COURTYARD DR STE L
MIDLAND, TX 79705-3276
Phone number:
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