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Individual

BRUCE ALAN FELTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
501 E EMMITT AVE, WAVERLY, OH 45690-1206
(740) 941-3017
Mailing address
683 CONLEY RD, BEAVER, OH 45613-9636
(740) 988-0016

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03110056
OH

Other

Enumeration date
03/28/2011
Last updated
03/28/2011
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