Individual
MR. BRADFORD WOOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4275
Mailing address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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