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1598232415
MARY KAY BRUCK
SPOKANE, WA
NPI
1598232415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00018115)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
MARY KAY BRUCK AA/LPN
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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Mailing Address
MARY KAY BRUCK AA/LPN
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
Copy
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