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1154682805
BRUCE PAUL
WHITE PLAINS, NY
NPI
1154682805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 331977)
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
Mr. BRUCE PAUL NP
25 LAKE ST APT. 2F
WHITE PLAINS, NY 10603-4032
Phone number: 914-948-3158
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Mailing Address
Mr. BRUCE PAUL NP
25 LAKE STREET APT. 2F
WHITE PLAINS, NY 10603-4013
Phone number: 914-948-3158
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