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1902842503
ROBERT MONROE BRUCKART
MELBOURNE, FL
NPI
1902842503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH6496)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
DR. ROBERT MONROE BRUCKART PH.D., M.A., M.DIV.
1350 HICKORY ST
MELBOURNE, FL 32901-3278
Phone number: 321-434-7183
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Mailing Address
DR. ROBERT MONROE BRUCKART PH.D., M.A., M.DIV.
2327 SAINT ANDREWS CIR
MELBOURNE, FL 32901-5858
Phone number: 321-723-7004
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