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Alicia Mock
NPI 1205341104 · on the registry since 2017 · sole proprietor
Practice
- Address
- 15 Ruger Cir
Lakeland, GA 31635 - Phone
- (303) 524-5530
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia