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1497953509
DANIEL RODGERS
CAMP LEJEUNE, NC
NPI
1497953509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Mr. DANIEL RODGERS IDC
2ND BN 9TH MAR, 2ND MARINE DIVISION PSC 20002
CAMP LEJEUNE, NC 28542-0002
Phone number: 910-450-9434
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Mailing Address
Mr. DANIEL RODGERS IDC
2301 INDIAN DR APT 63
JACKSONVILLE, NC 28546-5260
Phone number: 757-376-7250
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