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1023840402
BROCK ISOM
NORTHPORT, AL
NPI
1023840402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH11979)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
BROCK ISOM
92 MCFARLAND BLVD
NORTHPORT, AL 35476-3348
Phone number: 205-344-9161
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Mailing Address
BROCK ISOM
42465 HIGHWAY 195
HALEYVILLE, AL 35565-7052
Phone number: 256-350-1764
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