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NPI Profile for MARY E BRUCH in CORVALLIS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
College Health |
163WC1400X |
| NPI Number | 1437370020 |
|
| Status | Active | |
| Credentials | REGISTERED NURSE | |
| Entity | Individual | |
| Enumeration date | 05/01/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MARY E BRUCH
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MARY E BRUCH, REGISTERED NURSE