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Individual

MR. BRUCE F. SHEEHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4650 W. SWEETWATER AVE., GLENDALE, AZ 85304-1505
(602) 347-2600
Mailing address
733 E. PALMAIRE, PHOENIX, AZ 85020

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
144
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
928947
AZ
Enumeration date
05/04/2007
Last updated
07/09/2007
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