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1780757351
ROGER JACK PELL
PONTIAC, MI
NPI
1780757351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704155121)
Enumeration Date
2006-11-15
Last Update Date
2013-02-04
Business Address
-- ROGER JACK PELL CRNA
50 N PERRY ST DEPARTMENT OF ANESTHESIA ATTN KAREN SANDERSON
PONTIAC, MI 48342-2217
Phone number: 248-338-5442
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Mailing Address
-- ROGER JACK PELL CRNA
5833 ROWLEY BLVD
WATERFORD, MI 48329-2217
Phone number: 248-674-0501
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