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1215997465
BRUCE JOHN PAVLOV
MARQUETTE, MI
NPI
1215997465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901016634)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Dr. BRUCE JOHN PAVLOV D.D.S.
1101 LINCOLN AVE
MARQUETTE, MI 49855-2622
Phone number: 906-225-0617
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Mailing Address
Dr. BRUCE JOHN PAVLOV D.D.S.
1101 LINCOLN AVE
MARQUETTE, MI 49855-2622
Phone number: 906-225-0617
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