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1144505595
BRUCE OLIVER THOMPSON
FORT PIERCE, FL
NPI
1144505595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
Mr. BRUCE OLIVER THOMPSON
121 N 2ND ST STE 301
FORT PIERCE, FL 34950-4435
Phone number: 772-595-3773
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Mailing Address
Mr. BRUCE OLIVER THOMPSON
121 N 2ND ST STE 301
FORT PIERCE, FL 34950-4435
Phone number: 772-595-3773
Copy
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