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1780952515
GERALD JAY BROOCK
PORTLAND, OR
NPI
1780952515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR MD27913)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
Dr. GERALD JAY BROOCK M.D.
123 NW 12TH AVE APT. 1426
PORTLAND, OR 97209-4143
Phone number: 757-561-6056
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Mailing Address
Dr. GERALD JAY BROOCK M.D.
123 NW 12TH AVE APT. 1426
PORTLAND, OR 97209-4143
Phone number: 757-561-6056
Copy
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