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1457183691
NICOLE ROGERS
SOUTH BEND, IN
NPI
1457183691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10004656A)
Enumeration Date
2024-08-16
Last Update Date
2024-12-20
Business Address
NICOLE ROGERS
621 MEMORIAL DR STE 100
SOUTH BEND, IN 46601-1063
Phone number: 574-647-1100
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Mailing Address
NICOLE ROGERS
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-6592
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