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1467450338
ROGER C BRAINARD
TAMPA, FL
NPI
1467450338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL ME34885)
Enumeration Date
2005-07-13
Last Update Date
2011-05-12
Business Address
Dr. ROGER C BRAINARD M.D
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006
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Mailing Address
Dr. ROGER C BRAINARD M.D
3006 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-874-3006
Copy
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