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1093979874
ROGER MARVIN ALLYN
LA PLATA, NM
NPI
1093979874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 2219 OP)
Enumeration Date
2008-07-11
Last Update Date
2008-07-11
Business Address
Dr. ROGER MARVIN ALLYN O.D.
1170 HWY 170
LA PLATA, NM 87418-0269
Phone number: 505-325-2472
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Mailing Address
Dr. ROGER MARVIN ALLYN O.D.
PO BOX 269
LA PLATA, NM 87418-0269
Phone number: 505-325-2472
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