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Individual

MRS. GAIL PACHARIS BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
DUKE UNIVERSITY MEDICAL CTR, 7623B HOSPITAL NORTH BOX 3128, DURHAM, NC 27710-0001
(919) 681-3810
(919) 613-5137
Mailing address
DUKE UNIVERSITY MEDICAL CTR, 7623B HOSPITAL NORTH BOX 3128, DURHAM, NC 27710-0001
(919) 681-3810
(919) 613-5137

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
185982
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037407700
DC
05
409415800
MD
Enumeration date
05/19/2006
Last updated
06/08/2011
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