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Individual

DR. DEAN RAY BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
402 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2836
(505) 894-9355
(800) 957-2330
Mailing address
402 N BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-2836
(505) 894-9355
(800) 957-2330

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1493
NM

Other

Enumeration date
12/18/2006
Last updated
01/13/2012
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