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1730121823
BROOKE A BOSTIC
RUCKERSVILLE, VA
NPI
1730121823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101049508)
Enumeration Date
2006-06-12
Last Update Date
2018-07-02
Business Address
BROOKE A BOSTIC MD
140 STONERIDGE DR S STE 100
RUCKERSVILLE, VA 22968
Phone number: 434-654-1850
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Mailing Address
BROOKE A BOSTIC MD
PO BOX 79777
BALTIMORE, MD 21279-0777
Phone number: 434-654-7794
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