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1538818729
JORDAN BROCK
SEARCY, AR
NPI
1538818729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
JORDAN BROCK MD
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: 501-380-2298
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Mailing Address
JORDAN BROCK MD
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: 501-380-2280
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