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Individual
BILLIE BROCK
Active
Individual
BILLIE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN..,B.S.N.
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
059-03-003-1
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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