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Individual
BRUCE ALAN METTIN
Active
Individual
BRUCE ALAN METTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R257521L
PA
163W00000X
Registered Nurse
R39963
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R257521L
LICENSE
PA
Enumeration date
01/06/2021
Last updated
01/06/2021
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