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Individual

BRADLEY ERNEST SWALLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1235 LAKE PLAZA DR STE 221, COLORADO SPRINGS, CO 80906-3556
(719) 271-9663
Mailing address
1235 LAKE PLAZA DR STE 221, COLORADO SPRINGS, CO 80906-3556
(791) 271-9663

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020235
CO

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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