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1093913402
EDGAR OMAR RODRIGUEZ
NORFOLK, VA
NPI
1093913402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: NC 7920)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
Mr. EDGAR OMAR RODRIGUEZ RDH
USS BATAAN LHD-5 FPO AE
NORFOLK, VA 09554-1657
Phone number: 757-445-6344
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Mailing Address
Mr. EDGAR OMAR RODRIGUEZ RDH
20290 APRICOT LN
CALDWELL, ID 83607-9480
Phone number: 208-602-7014
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