BRUCE PATTON MINDRUP

JERSEYVILLE, IL
NPI1811917875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180-000768)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Dr. BRUCE PATTON MINDRUP Ph.D.
106 GOODRICH ST
JERSEYVILLE, IL 62052-2212
Phone number: 618-498-4911
Mailing Address
Dr. BRUCE PATTON MINDRUP Ph.D.
106 GOODRICH ST
JERSEYVILLE, IL 62052-2212
Phone number: 618-498-4911
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