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Individual
BROCK FREIDENBERGER
Active
Individual
BROCK FREIDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14192566-4405
UT
Other
Enumeration date
10/30/2024
Last updated
01/06/2026
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