BRUCE PATRICK MCCLELLAN

TYLER, TX
NPI1104976182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  25)
Additional Taxonomies224P00000X Prosthetist
(Licence: TX  25)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
BRUCE PATRICK MCCLELLAN C.P.O.
1122 E FRONT ST
TYLER, TX 75702-8414
Phone number: 903-592-6574
Mailing Address
BRUCE PATRICK MCCLELLAN C.P.O.
1122 E FRONT ST
TYLER, TX 75702-8414
Phone number: 903-592-6574
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