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1386750370
ROGER DEPRA
SPARTANBURG, SC
NPI
1386750370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL 29091)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. ROGER DEPRA M.D.
853 N CHURCH ST SUITE 510
SPARTANBURG, SC 29303-3098
Phone number: 864-560-6193
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Mailing Address
Dr. ROGER DEPRA M.D.
727 BRIMSTONE LN
SPARTANBURG, SC 29301-5040
Phone number: 864-587-1886
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