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1205804242
RODGER M HOWARD
GREAT LAKES, IL
NPI
1205804242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
Mr. RODGER M HOWARD IDC
3420 ILLINOIS STREET BLDG 1007
GREAT LAKES, IL 60088
Phone number: 847-688-6755
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Mailing Address
Mr. RODGER M HOWARD IDC
2086 B LEXINGTON AVE
GREAT LAKES, IL 60088
Phone number: 361-204-0502
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