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1104684844
ROGER DALE LAWRENCE
POPLAR BLUFF, MO
NPI
1104684844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
ROGER DALE LAWRENCE
2995 WARRIOR LN
POPLAR BLUFF, MO 63901-8600
Phone number: 573-686-1200
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Mailing Address
ROGER DALE LAWRENCE
2995 WARRIOR LN
POPLAR BLUFF, MO 63901-8600
Phone number: 573-686-1200
Copy
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