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1790725851
ROGER N GROSSBARD
SURPRISE, AZ
NPI
1790725851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1287)
Enumeration Date
2006-06-07
Last Update Date
2007-10-17
Business Address
Dr. ROGER N GROSSBARD O.D.
14455 W GRAND AVE SUITE 102
SURPRISE, AZ 85374-7196
Phone number: 623-546-2080
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Mailing Address
Dr. ROGER N GROSSBARD O.D.
17492 N HORSESHOE DR
SURPRISE, AZ 85374-6238
Phone number: 623-975-4422
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