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Individual

DR. NICOLE R BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
12205 COUNTY LINE RD, SUITE D, MADISON, AL 35758-7719
(256) 461-7775
(256) 461-7756
Mailing address
12205 COUNTY LINE RD, SUITE D, MADISON, AL 35758-7719
(256) 461-7775
(256) 461-7756

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2171
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51537054
BLUE CROSS PROVIDER NUMBER
AL
Enumeration date
09/13/2006
Last updated
05/20/2008
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