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1558467852
ROGER M FOGG
GRANTS PASS, OR
NPI
1558467852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200350113NP FNP-PP)
Enumeration Date
2006-09-15
Last Update Date
2013-07-02
Business Address
Mr. ROGER M FOGG FNP-C
8600 NEW HOPE RD
GRANTS PASS, OR 97527-8978
Phone number: 541-862-2836
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Mailing Address
Mr. ROGER M FOGG FNP-C
8600 NEW HOPE RD
GRANTS PASS, OR 97527-8978
Phone number: 541-862-2836
Copy
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