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1003890153
JERRY D. BOGGS
ROSEBURG, OR
NPI
1003890153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: OR MD20969)
Enumeration Date
2005-12-02
Last Update Date
2015-09-10
Business Address
JERRY D. BOGGS M.D.
1741 WEST HARVARD AVE
ROSEBURG, OR 97471-2716
Phone number: 541-440-5320
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Mailing Address
JERRY D. BOGGS M.D.
PO BOX 1700
ROSEBURG, OR 97470-0414
Phone number: 541-440-5320
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