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1295721207
JAY DAVID BROCK
FREDERICKSBURG, VA
NPI
1295721207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101032059)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
Dr. JAY DAVID BROCK M.D.
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408-4234
Phone number: 540-891-5600
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Mailing Address
Dr. JAY DAVID BROCK M.D.
PO BOX 8023
FREDERICKSBURG, VA 22404-8023
Phone number: 540-371-4488
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