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Individual

JENNIFER BRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
809 ELM ST, MISSOURI VALLEY, IA 51555-1140
(712) 642-2794
(712) 642-9338
Mailing address
2883 HIGHWAY 191, PERSIA, IA 51563-4063
(712) 310-2883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A118193
IA

Other

Enumeration date
11/22/2017
Last updated
11/22/2017
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