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1689391443
LYDIA JORDAN BROCK
YPSILANTI, MI
NPI
1689391443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-24
Last Update Date
2024-07-03
Business Address
LYDIA JORDAN BROCK DO
200 ARNET ST STE 200
YPSILANTI, MI 48198-5753
Phone number: 580-475-6385
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Mailing Address
LYDIA JORDAN BROCK DO
200 ARNET ST STE 200
YPSILANTI, MI 48198-5753
Phone number:
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