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1942286851
KENNETH W BROCK
KETTERING, OH
NPI
1942286851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: OH 35037259)
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
KENNETH W BROCK MD
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-8166
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Mailing Address
KENNETH W BROCK MD
20 PRESTIGE PLZ SUITE 100
MIAMISBURG, OH 45342-5354
Phone number: 937-436-4658
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