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1902549801
MICHAEL JAMES BROCKMAN
EL PASO, TX
NPI
1902549801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10081504)
Enumeration Date
2022-04-18
Last Update Date
2022-06-28
Business Address
MICHAEL JAMES BROCKMAN DO
4800 ALBERTA AVE
EL PASO, TX 79905-2700
Phone number: 915-215-8000
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Mailing Address
MICHAEL JAMES BROCKMAN DO
4800 ALBERTA AVE
EL PASO, TX 79905-2700
Phone number: 915-215-8000
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