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1689054819
BRUCE MARTY MIZENER
PINELLAS PARK, FL
NPI
1689054819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
-- BRUCE MARTY MIZENER B.A.
3491 GANDY BLVD N STE 201
PINELLAS PARK, FL 33781-2654
Phone number: 727-547-0607
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Mailing Address
-- BRUCE MARTY MIZENER B.A.
4811 20TH ST N
SAINT PETERSBURG, FL 33714-3310
Phone number: 727-710-2934
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