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1366996050
TIA BRUCE
COLUMBIA, MO
NPI
1366996050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2015044321)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
Mrs. TIA BRUCE PNP
303 N KEENE ST SUITE 404
COLUMBIA, MO 65201-7193
Phone number: 573-777-7627
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Mailing Address
Mrs. TIA BRUCE PNP
816 S CENTRAL AVE
CENTRALIA, MO 65240-1810
Phone number: 573-819-0954
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