EDMOND BRUCE

BLOOMINGTON, IL
NPI1669593422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  PT 070010727)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
Mr. EDMOND BRUCE RPT
700 E WALNUT ST
BLOOMINGTON, IL 61701-3244
Phone number: 309-827-8004
Mailing Address
Mr. EDMOND BRUCE RPT
1102 DRAYTON ST
NORMAL, IL 61761-5725
Phone number: 309-827-8004
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