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1063983443
ALISA BRUCE
FREDERICK, MD
NPI
1063983443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
ALISA BRUCE
679B E CHURCH ST
FREDERICK, MD 21701-6163
Phone number: 301-401-9052
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Mailing Address
ALISA BRUCE
679B E CHURCH ST
FREDERICK, MD 21701-6163
Phone number: 301-401-9052
Copy
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