Bruce Blain

NPI 1093989469 - Foster Care Agency - 253J00000X

NPI Details
NPI 1093989469
Gender Male
Enumeration Date 04/16/2008
Last Updated 04/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6642 FORESTWOOD DR W
LAKELAND FL, 33811-2414, US
Phone (863) 644-1560
Fax
Business Location
6642 FORESTWOOD DR W
LAKELAND FL, 33811-2414, US
Phone (863) 644-1560
Fax
Toxanomy
Taxonomy Code 253J00000X
License State
License Number
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According to our database, Bruce Blain NPI is 1093989469, taxonomy code is 253J00000X Bruce Blain physically located at 6642 Forestwood Dr W, Lakeland FL, 33811-2414. NPI Number Bruce Blain has the Individual type.

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1093989469 NPI number is provided on an as is basis without warranty of any kind. 1093989469 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Blain are for informational purposes only.