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Sophal Sok

Nurse Practitioner in Brockton, MA. Individual provider (NPI-1).

NPI number1497328512
StatusActive
Last updated in NPPESJul 19, 2021

Details

NPI
1497328512
Entity type
Individual (NPI-1)
Name
Sophal Sok
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2021
Certification date
Jul 16, 2021
Last updated
Jul 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN2328434MAYes

Practice location

63 Main St
Brockton, MA 02301-4042

Phone 508-559-6699

Mailing address

63 Main St
Brockton, MA 02301-4042

Phone 508-559-6699

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