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1235657305
JUSTIN LANCE ROGERS
FAIRFIELD, CA
NPI
1235657305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN684508)
Enumeration Date
2017-09-08
Last Update Date
2022-07-21
Business Address
Mr. JUSTIN LANCE ROGERS LVN
2101 COURAGE DR.
FAIRFIELD, CA 94533
Phone number: 707-639-4675
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Mailing Address
Mr. JUSTIN LANCE ROGERS LVN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
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