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1700378577
BROCK CARL HARNISCH
FREMONT, NE
NPI
1700378577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IN 1476109)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
BROCK CARL HARNISCH
2230 E 12TH ST
FREMONT, NE 68025-1610
Phone number: 312-375-4601
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Mailing Address
BROCK CARL HARNISCH
9089 CLAIREMONT MESA BLVD STE 200
SAN DIEGO, CA 92123-1225
Phone number: 858-810-8628
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