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Bradley Gates
NPI 1497184022 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2310 E Division St Apt D
Mount Vernon, WA 98274 - Phone
- (360) 708-8924
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington