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1790742484
ROGER ALLAN MOSURE
LAKE MARY, FL
NPI
1790742484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: FL 00-170)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
-- ROGER ALLAN MOSURE ATC ETT LAT
6551LONGWOOD-LAKE MARY BLVD
LAKE MARY, FL 32746
Phone number: 407-320-9550
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Mailing Address
-- ROGER ALLAN MOSURE ATC ETT LAT
546 TIBERON COVE RD
LONGWOOD, FL 32750-2951
Phone number: 407-332-6184
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