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Individual

PAMELA BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Mailing address
6471 PATRIOT DR, COLUMBUS, GA 31909-4423
(706) 405-8504

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/09/2009
Last updated
09/09/2009
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