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Individual

BRUCE D KUGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1332 LINDEN STREET, STE #3, LONGMONT, CO 80501
(303) 919-3579
(970) 532-4891
Mailing address
848 6TH STREET, BERTHOOD, CO 80513
(303) 919-3579
(970) 532-4891

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2323
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25904345
CO
Enumeration date
01/23/2007
Last updated
07/08/2007
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