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1194487546
VIKKI L BROCK
CORBIN, KY
NPI
1194487546
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Former Name
VIKKI LEE LYDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: KY A01430)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
VIKKI L BROCK PTA
1202 W NILE ST
CORBIN, KY 40701-2609
Phone number: 606-261-5382
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Mailing Address
VIKKI L BROCK PTA
1202 W NILE ST
CORBIN, KY 40701-2609
Phone number: 606-261-5382
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