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1720324742
ROGER EDWARD LYSIAK
LAFAYETTE, IN
NPI
1720324742
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Professional Name
ROGER EDWARD LYSIAK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08000790A)
Enumeration Date
2012-12-19
Last Update Date
2012-12-19
Business Address
DR. ROGER EDWARD LYSIAK D.C.
677 N 36TH ST
LAFAYETTE, IN 47905-4475
Phone number: 765-346-3310
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Mailing Address
DR. ROGER EDWARD LYSIAK D.C.
677 N 36TH ST
LAFAYETTE, IN 47905-4475
Phone number: 765-346-3310
Copy
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