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Individual

HOLLY BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1400 NE 136TH AVE STE 201, VANCOUVER, WA 98684-0993
(360) 258-1787
Mailing address
PO BOX 87044, VANCOUVER, WA 98687-7044
(360) 258-1787

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61433590
WA

Other

Enumeration date
07/28/2009
Last updated
04/03/2025
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