SHANE BROCK

LAS CRUCES, NM
NPI1487806808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NM  CNP01132/R46618)
Enumeration Date2008-10-16
Last Update Date2015-08-07
Business Address
Mr. SHANE BROCK CNP
1635 S DON ROSER DR LAS CRUCES VA CBOC
LAS CRUCES, NM 88011-4550
Phone number: 575-522-1241
Mailing Address
Mr. SHANE BROCK CNP
1635 S DON ROSER DR LAS CRUCES VA CBOC
LAS CRUCES, NM 88011-4550
Phone number: 575-522-1241
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