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1891040903
BRUCE WEATHERLY
HARRISBURG, PA
NPI
1891040903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS-005590-L)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- BRUCE WEATHERLY PSY
5630 DEVONSHIRE RD
HARRISBURG, PA 17112-3911
Phone number: 814-876-2938
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Mailing Address
-- BRUCE WEATHERLY PSY
344 S 13TH ST
HARRISBURG, PA 17104-1777
Phone number: 814-876-2938
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