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1720057201
ROGER DALE PAGE
DURHAM, NC
NPI
1720057201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 100365)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
Mr. ROGER DALE PAGE PAC
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
Mr. ROGER DALE PAGE PAC
6209 RASCOE RD
BURLINGTON, NC 27217-9237
Phone number: 336-421-0006
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