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1649545302
CASEY LEIGH BROCK
CONWAY, AR
NPI
1649545302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AR A03651)
Enumeration Date
2012-03-14
Last Update Date
2012-10-09
Business Address
-- CASEY LEIGH BROCK APN
2200 ADA AVE STE 203
CONWAY, AR 72034-4985
Phone number: 501-205-8389
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Mailing Address
-- CASEY LEIGH BROCK APN
198 SALMON LN
RUSSELLVILLE, AR 72802-2282
Phone number: 501-205-8389
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