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1316504434
ROGER DALE WADE
JACKSONVILLE, FL
NPI
1316504434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9340067)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
Mr. ROGER DALE WADE RN
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-2460
Phone number: 904-271-6000
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Mailing Address
Mr. ROGER DALE WADE RN
760 PALMETTO ST
OVIEDO, FL 32765-9548
Phone number: 850-830-3893
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