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1396524195
LAWRENCE RODGERS
SOUTHFIELD, MI
NPI
1396524195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
LAWRENCE RODGERS
17320 W 12 MILE RD
SOUTHFIELD, MI 48076-2100
Phone number: 248-727-3456
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Mailing Address
LAWRENCE RODGERS
PO BOX 251732
WEST BLOOMFIELD, MI 48325-1732
Phone number: 252-327-1421
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