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1215226998
BRUCE S MARTIN
UTICA, NY
NPI
1215226998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-04-01
Last Update Date
2011-04-01
Business Address
Mr. BRUCE S MARTIN
712 RUTGER ST
UTICA, NY 13501-2508
Phone number: 315-272-6367
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Mailing Address
Mr. BRUCE S MARTIN
712 RUTGER ST
UTICA, NY 13501-2508
Phone number: 315-272-6367
Copy
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