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Individual
JUSTIN THOMAS BRUNS
Active
Individual
JUSTIN THOMAS BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
—
—
363LF0000X
Family Nurse Practitioner
Primary
14466
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
08/20/2026
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