Bradley Lawrence Mallett BA

NPI 1265726624 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1265726624
Gender Male
Enumeration Date 06/02/2011
Last Updated 06/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
220 RUSKIN DR
COLORADO SPRINGS CO, 80910-2522, US
Phone (719) 572-6100
Fax
Business Location
220 RUSKIN DR
COLORADO SPRINGS CO, 80910-2522, US
Phone (719) 572-6100
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Bradley Lawrence Mallett BA NPI is 1265726624, taxonomy code is 171M00000X Bradley Lawrence Mallett BA physically located at 220 Ruskin Dr, Colorado Springs CO, 80910-2522. NPI Number Bradley Lawrence Mallett BA has the Individual type.

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1265726624 NPI number is provided on an as is basis without warranty of any kind. 1265726624 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Lawrence Mallett BA are for informational purposes only.