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Individual

JESSICA M BRUCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
432 3RD AVE, FORD CITY, PA 16226-1003
(724) 763-9200
(724) 763-9235
Mailing address
PO BOX 1549, BUTLER, PA 16003-1549
(724) 284-5670
(724) 284-4144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103179880-0001
PA
Enumeration date
06/23/2016
Last updated
11/28/2017
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