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Individual

MRS. MICHELLE LEBORYS HOCKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8197 WESTSIDE BLVD, MINUTE CLINIC, FULTON, MD 20759-2590
(410) 627-6153
(301) 570-0990
Mailing address
2612 TRIADELPHIA LAKE RD, BROOKEVILLE, MD 20833-1414
(410) 627-6153

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R121584
MD

Other

Enumeration date
07/08/2006
Last updated
03/12/2014
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