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1962107938
BRUCE DWAYNE BARRON
FORT PIERCE, FL
NPI
1962107938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
MR. BRUCE DWAYNE BARRON
1806 N 29TH ST
FORT PIERCE, FL 34947-2010
Phone number: 772-672-4387
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Mailing Address
MR. BRUCE DWAYNE BARRON
1806 N 29TH ST
FORT PIERCE, FL 34947-2010
Phone number: 772-971-3727
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