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1063548980
ROGER D IBURG
PENSACOLA, FL
NPI
1063548980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 4977)
Enumeration Date
2007-02-26
Last Update Date
2008-05-06
Business Address
-- ROGER D IBURG
511 PHYLLIS ST
PENSACOLA, FL 32503-2024
Phone number: 850-477-8874
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Mailing Address
-- ROGER D IBURG
511 PHYLLIS ST
PENSACOLA, FL 32503-2024
Phone number: 850-477-8874
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