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1164419180
GEOFFREY D RODGERS
COOKEVILLE, TN
NPI
1164419180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN OPA0645)
Enumeration Date
2005-10-04
Last Update Date
2012-05-14
Business Address
GEOFFREY D RODGERS OPAC
105 S WILLOW AVE
COOKEVILLE, TN 38501-3138
Phone number: 913-526-9518
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Mailing Address
GEOFFREY D RODGERS OPAC
105 S WILLOW AVE
COOKEVILLE, TN 38501-3138
Phone number: 913-526-9518
Copy
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