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1508907171
KAREN DALE BROCK
ARDMORE, TN
NPI
1508907171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: TN CPM0000000022)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
Mrs. KAREN DALE BROCK CPM TN
25112 UNION HILL RD
ARDMORE, TN 38449-3168
Phone number: 931-427-3726
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Mailing Address
Mrs. KAREN DALE BROCK CPM TN
210 WILLINGHAM DR
CULLMAN, AL 35055-3183
Phone number: 256-734-4593
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