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Individual
MRS. LISA M BRUCE
Active
Individual
MRS. LISA M BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, NCTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60180429
WA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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