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1255475257
ROGER IVAN VAN HORN
NACOGDOCHES, TX
NPI
1255475257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 9400)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- ROGER IVAN VAN HORN DDS
928 N UNIVERSITY DR
NACOGDOCHES, TX 75961-4643
Phone number: 936-564-2478
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Mailing Address
-- ROGER IVAN VAN HORN DDS
928 N UNIVERSITY DR
NACOGDOCHES, TX 75961-4643
Phone number: 936-564-2478
Copy
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