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1063596567
ELAINE J BRUCKNER
BOWLING GREEN, OH
NPI
1063596567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OH 5040)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
ELAINE J BRUCKNER PH.D.
970 W WOOSTER ST SUITE 124
BOWLING GREEN, OH 43402-2643
Phone number: 419-352-6666
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Mailing Address
ELAINE J BRUCKNER PH.D.
970 W WOOSTER ST SUITE 124
BOWLING GREEN, OH 43402-2643
Phone number: 419-352-6666
Copy
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