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1740315704
NORMA BROCK
DECATUR, GA
NPI
1740315704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse Registered Nurse First Assistant
(Licence: GA RN080668)
Enumeration Date
2007-02-22
Last Update Date
2018-07-19
Business Address
NORMA BROCK CRNFA
807 E PONCE DE LEON AVE
DECATUR, GA 30030
Phone number: 770-853-1974
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Mailing Address
NORMA BROCK CRNFA
807 E PONCE DE LEON AVE
DECATUR, GA 30030-2036
Phone number: 770-853-1974
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