Individual
BOB BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 S WALPOLE ST, SHARON, MA 02067-1606
(617) 894-8989
Mailing address
257 S WALPOLE ST, SHARON, MA 02067-1606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91561
MA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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