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1164850434
COREY BRUCE
OVIEDO, FL
NPI
1164850434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-10-24
Last Update Date
2018-03-17
Business Address
COREY BRUCE
1809 E.BROADWAY ST. SUITE 122
OVIEDO, FL 32765
Phone number: 407-359-5693
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Mailing Address
COREY BRUCE
6650 CORPORATE CENTER PKWY APT 518
JACKSONVILLE, FL 32216-8733
Phone number: 904-718-9607
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