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1861121212
JACOB BROCKMANN
GLENDALE, AZ
NPI
1861121212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AZ 9130)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
JACOB BROCKMANN PA-C
18700 N 64TH DR STE 205
GLENDALE, AZ 85308-7112
Phone number: 602-277-6211
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Mailing Address
JACOB BROCKMANN PA-C
1423 N POMEROY
MESA, AZ 85201-2714
Phone number: 707-978-9002
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