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1104327246
KATHERINE BROCK
WYOMING, MI
NPI
1104327246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703047498)
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
KATHERINE BROCK
1853 R W BERENDS DR SW
WYOMING, MI 49519-4955
Phone number: 616-534-9300
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Mailing Address
KATHERINE BROCK
740 8TH AVE SW
BYRON CENTER, MI 49315-8904
Phone number: 616-550-8799
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