JACK A ROGERS

OXFORD, MS
NPI1083853493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  0035)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- JACK A ROGERS
152A HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7527
Mailing Address
-- JACK A ROGERS
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7527
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