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Individual

BRUCE MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
510 W BARNETT ST, HARRISBURG, IL 62946-3508
(618) 253-7539

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/24/2011
Last updated
10/24/2011
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