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Individual

MR. BRUCE NEMOURS NUNEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC, MLT, ASCP (CM)

Contact information

Practice address
881 USS JAMES MADISON RD BLDG 1028, KINGS BAY, GA 31547-2531
(912) 573-6652
Mailing address
654 EAGLE CT APT C, SAINT MARYS, GA 31558-2328
(985) 237-0492

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
04/12/2022
Last updated
11/16/2022
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