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Individual

POPPY ANNE BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2811 N 2350 W, OGDEN, UT 84404-5177
(801) 452-1940
(801) 872-8757
Mailing address
2294 S 3585 W, SYRACUSE, UT 84075-5014
(801) 882-8681
(801) 872-8757

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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