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1740490002
BRUCE CLEAVELAND BACON
FORT MYERS, FL
NPI
1740490002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: FL ME20101)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. BRUCE CLEAVELAND BACON M.D.
6932 OLD WHISKEY CREEK DR
FORT MYERS, FL 33919-1827
Phone number: 239-939-7609
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Mailing Address
Dr. BRUCE CLEAVELAND BACON M.D.
6932 OLD WHISKEY CREEK DR
FORT MYERS, FL 33919-1827
Phone number: 239-939-7609
Copy
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