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NPI Profile for IRENE E BROCK in LUCEDALE, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI Number | 1659968360 |
|
| Status | Active | |
| Credentials | REGISTERED NURSE | |
| Entity | Individual | |
| Enumeration date | 12/29/2020 | |
| Last updated | 12/29/2020 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IRENE E BROCK
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| GEORGE COUNTY SCHOOL DISTRICT GEORGE COUNTY MIDDLE SCHOOL LUCEDALE, MS |
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| CHERYL A BOOTH, CRNP 3719 DAUPHIN STREET MOBILE, AL |
| SARITA TANNER, RN 1015 MONTLIMAR DRIVE MOBILE, AL |
IRENE E BROCK, REGISTERED NURSE