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1407675457
MARIYA NIKOLAEVNA BROCK
LEXINGTON, KY
NPI
1407675457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 4027616)
Enumeration Date
2024-10-07
Last Update Date
2024-12-18
Business Address
MARIYA NIKOLAEVNA BROCK APRN
800 ROSE ST
LEXINGTON, KY 40536-7001
Phone number: 859-257-1000
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Mailing Address
MARIYA NIKOLAEVNA BROCK APRN
364 AFTON LN
LONDON, KY 40741-7828
Phone number:
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