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1508836537
BRUCE WAYNE SULLIVAN
GULFPORT, MS
NPI
1508836537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MS 0727)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
MR. BRUCE WAYNE SULLIVAN LPC
450 E PASS RD STE. 3
GULFPORT, MS 39507-3212
Phone number: 228-604-0099
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Mailing Address
MR. BRUCE WAYNE SULLIVAN LPC
450 E PASS RD STE. 3
GULFPORT, MS 39507-3212
Phone number: 228-604-0099
Copy
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