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Individual

JAYNE MARIE BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
8817 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9271
(801) 860-4325
Mailing address
8817 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9271
(801) 860-4325

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
349456-4701
UT

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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