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Bruce Blain
NPI 1093989469 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6642 Forestwood Dr W
Lakeland, FL 33811 - Phone
- (863) 644-1560
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Foster Care Agency
253J00000X
- Sex
- Male
- Record last updated
- 2008-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida