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1790531663
LANDON B BRUICH
LITTLE ROCK, AR
NPI
1790531663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
-- LANDON B BRUICH MD
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-5545
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Mailing Address
-- LANDON B BRUICH MD
400 SAVANNAH PARK CIR
CONWAY, AR 72034-7297
Phone number:
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