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Individual
THERESA L BRUNO
Active
Individual
THERESA L BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1631102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305229000
—
FL
01
—
G2138
BC/BS
—
Enumeration date
11/08/2005
Last updated
10/10/2007
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