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1073575908
ANDREA GENTRY BROCK
MOORESVILLE, NC
NPI
1073575908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103497)
Enumeration Date
2006-04-05
Last Update Date
2023-08-07
Business Address
Mrs. ANDREA GENTRY BROCK PA-C
128 MEDICAL PARK RD SUITE 101
MOORESVILLE, NC 28117-8578
Phone number: 704-658-1001
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Mailing Address
Mrs. ANDREA GENTRY BROCK PA-C
128 MEDICAL PARK RD SUITE 101
MOORESVILLE, NC 28117-8578
Phone number: 704-658-1001
Copy
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