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1447369483
ROGER D BROOME
MOBILE, AL
NPI
1447369483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AL PTH4694)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- ROGER D BROOME PT
5420 HIGHWAY 90 W TILLMAN'S CORNER
MOBILE, AL 36619-4216
Phone number: 251-660-1505
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Mailing Address
-- ROGER D BROOME PT
4258 TAURUS DR
MOBILE, AL 36693-4657
Phone number: 251-661-9866
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