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1215929039
ROGER E PRADELLI
KEESLER AFB, MS
NPI
1215929039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: DE 0001101)
Enumeration Date
2005-08-17
Last Update Date
2018-04-26
Business Address
Dr. ROGER E PRADELLI DMD
301 FISHER ST
KEESLER AFB, MS 39534-2508
Phone number: 228-376-0512
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Mailing Address
Dr. ROGER E PRADELLI DMD
301 FISHER ST
KEESLER AFB, MS 39534-2508
Phone number: 228-376-0512
Copy
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