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1730358201
BRUCE P PRIVE
MONTICELLO, MS
NPI
1730358201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R739397)
Enumeration Date
2008-02-28
Last Update Date
2024-01-18
Business Address
BRUCE P PRIVE FNP
1065 E BROAD ST
MONTICELLO, MS 39654-7703
Phone number: 601-587-4051
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Mailing Address
BRUCE P PRIVE FNP
164A GAVIN RD
WIGGINS, MS 39577-9623
Phone number: 228-424-7060
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