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1689761280
CHARLES E BROCK
CLEVELAND, MS
NPI
1689761280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 11341)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
DR. CHARLES E BROCK M.D.
810 E SUNFLOWER RD
CLEVELAND, MS 38732-2800
Phone number: 662-843-3606
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Mailing Address
DR. CHARLES E BROCK M.D.
498 HILLCREST CIR
CLEVELAND, MS 38732-2008
Phone number: 662-843-1433
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