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BROCK LAMONT VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
925 WELLS AVENUE, WEST WENDOVER, NV 89883
(775) 664-2220
(775) 664-2965
Mailing address
PO BOX 2734, WEST WENDOVER, NV 89883-2734

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2775
NV

Other

Enumeration date
01/31/2023
Last updated
01/02/2025
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