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1063121689
AMANDA LYNN BROCK
TALLAHASSEE, FL
NPI
1063121689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL 11022900)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
AMANDA LYNN BROCK
1511 SURGEONS DR
TALLAHASSEE, FL 32308-4680
Phone number: 850-701-0695
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Mailing Address
AMANDA LYNN BROCK
1511 SURGEONS DR
TALLAHASSEE, FL 32308-4680
Phone number:
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