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1114034592
ROGER A DAVIDSON
HARLAN, IA
NPI
1114034592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 22994)
Enumeration Date
2006-08-23
Last Update Date
2007-08-31
Business Address
-- ROGER A DAVIDSON M.D.
1220 CHATBURN AVE
HARLAN, IA 51537-2009
Phone number: 712-755-5130
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Mailing Address
-- ROGER A DAVIDSON M.D.
1213 GARFIELD AVE
HARLAN, IA 51537-2057
Phone number: 712-755-5161
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