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1215625066
SHELLEY ANNE BRUCKER
SALEM, OR
NPI
1215625066
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Former Name
SHELLEY ANNE JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR 10007686)
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
SHELLEY ANNE BRUCKER PMHNP
2600 CENTER ST NE
SALEM, OR 97301-2682
Phone number: 503-947-8109
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Mailing Address
SHELLEY ANNE BRUCKER PMHNP
8900 SW SWEEK DR APT 1321
TUALATIN, OR 97062-7534
Phone number:
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