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1457481491
ROGER FAIR CLEM
FORT OGLETHORPE, GA
NPI
1457481491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
231H00000X Audiologist
(Licence: GA 3510)
Enumeration Date
2007-03-07
Last Update Date
2007-07-09
Business Address
MR. ROGER FAIR CLEM CCC-A
140 BATTLEWOOD DR
FORT OGLETHORPE, GA 30742-4006
Phone number: 706-861-7070
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Mailing Address
MR. ROGER FAIR CLEM CCC-A
1606 LAKE MARINA DR
HIXSON, TN 37343-4661
Phone number: 423-877-5570
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