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1740646421
CHARLES ALLEN BRUCE
SUMRALL, MS
NPI
1740646421
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Other Name
AL BRUCE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901427)
Enumeration Date
2016-01-11
Last Update Date
2020-07-24
Business Address
CHARLES ALLEN BRUCE FNP-C
1238 HIGHWAY 42
SUMRALL, MS 39482-9519
Phone number: 601-758-3100
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Mailing Address
CHARLES ALLEN BRUCE FNP-C
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-758-3100
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