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Individual

MS. NANCY LEE BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-8421
(573) 888-6761
Mailing address
4403 JACKIE LN, PARAGOULD, AR 72450-3871
(870) 565-3648
(573) 888-6761

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
119803
MO

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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