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1073795993
BRUCE LEE NELSON
PHOENIX, AZ
NPI
1073795993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 2293)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
Dr. BRUCE LEE NELSON DDS
1776 E GLENDALE AVE
PHOENIX, AZ 85020-5505
Phone number: 602-678-4500
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Mailing Address
Dr. BRUCE LEE NELSON DDS
1776 E GLENDALE AVE
PHOENIX, AZ 85020-5505
Phone number: 602-678-4500
Copy
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