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1720196165
BRUCE DOUGLAS CLYNE
COLUMBUS, GA
NPI
1720196165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-077041)
Enumeration Date
2006-08-27
Last Update Date
2007-07-11
Business Address
-- BRUCE DOUGLAS CLYNE CRNP
1310 13TH AVENUE VA CLINIC
COLUMBUS, GA 31902
Phone number: 706-257-7200
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Mailing Address
-- BRUCE DOUGLAS CLYNE CRNP
62 STILLWATERS GROVE
DADEVILLE, AL 36853
Phone number: 256-625-9206
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