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1174024715
LACRETIA BRUCE
LITTLE ROCK, AR
NPI
1174024715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
LACRETIA BRUCE
12 FOX RUN DR
LITTLE ROCK, AR 72210-7133
Phone number: 501-765-7951
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Mailing Address
LACRETIA BRUCE
12 FOX RUN DR
LITTLE ROCK, AR 72210-7133
Phone number: 501-765-7951
Copy
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