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1336118579
ROGER DWAIN HALL
POMONA, CA
NPI
1336118579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A5507)
Enumeration Date
2006-03-17
Last Update Date
2011-05-11
Business Address
-- ROGER DWAIN HALL DO
790 EAST BONITA AVE 2ND FLOOR
POMONA, CA 91767-1906
Phone number: 909-447-8585
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Mailing Address
-- ROGER DWAIN HALL DO
840 TOWNE CENTER DR CHAPARRAL MEDICAL GROUP
POMONA, CA 91767-5900
Phone number: 909-398-1550
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