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Individual

DR. BRADLEY JAY LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
750 CITADEL DR E, #2300, COLORADO SPRINGS, CO 80909-5327
(719) 598-1392
(719) 591-0220
Mailing address
32 LEISURE LN, WOODLAND PARK, CO 80863-8702
(719) 231-8182

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1764
CO

Other

Enumeration date
12/16/2005
Last updated
07/08/2007
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