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1821188103
JOANN MARY BRUCE
MODESTO, CA
NPI
1821188103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 201883 10203)
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
-- JOANN MARY BRUCE F.N.P.
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-6107
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Mailing Address
-- JOANN MARY BRUCE F.N.P.
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-2327
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