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Individual

JUDY BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
95 2ND ST NW, BEACH, ND 58621
(701) 872-3777
(701) 872-3419
Mailing address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 456-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R14189
ND

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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