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1689730996
PATRICIA CHARLENE LAURIE BROCK
MANSFIELD, TX
NPI
1689730996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX k8029)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Dr. PATRICIA CHARLENE LAURIE BROCK D.O.
1420 PARKSIDE DR
MANSFIELD, TX 76063-8618
Phone number: 847-971-6855
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Mailing Address
Dr. PATRICIA CHARLENE LAURIE BROCK D.O.
1420 PARKSIDE DR
MANSFIELD, TX 76063-8618
Phone number: 847-971-6855
Copy
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