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Individual
DR. CHARLES E. BRUCE
Active
Individual
DR. CHARLES E. BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
T03376
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318906229
—
MO
Enumeration date
08/19/2005
Last updated
02/25/2008
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