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1295500858
ALEXIS STEPHEN BROCK
SPOKANE, WA
NPI
1295500858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WA RN00157932)
Enumeration Date
2023-11-22
Last Update Date
2023-11-27
Business Address
ALEXIS STEPHEN BROCK RN
17 E 8TH AVE
SPOKANE, WA 99202-1201
Phone number: 509-638-7426
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Mailing Address
ALEXIS STEPHEN BROCK RN
19520 E KALAMA AVE
GREENACRES, WA 99016-5304
Phone number: 509-638-7426
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