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Individual
DR. BRUCE A MANCHEL
Active
Individual
DR. BRUCE A MANCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC18880F
MEDI CAL
—
Enumeration date
08/20/2006
Last updated
12/27/2007
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