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1558824797
JOHN-DAVID CONSTANTINE BRUCE
AUGUSTA, GA
NPI
1558824797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 10829)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
JOHN-DAVID CONSTANTINE BRUCE
DUGAS BUILDING (BG-1071) 1120 15TH STREET
AUGUSTA, GA 30912-0001
Phone number: 706-621-9442
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Mailing Address
JOHN-DAVID CONSTANTINE BRUCE
811 BRYNWOOD DR
CHATTANOOGA, TN 37415-3303
Phone number: 423-432-7976
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ABLE PEDIATRICS LLC