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1790947620
ROGER WAYNE KIRK
TROY, AL
NPI
1790947620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1-079245)
Enumeration Date
2008-07-01
Last Update Date
2012-02-17
Business Address
Mr. ROGER WAYNE KIRK CRNP
1340 HIGHWAY 231 S STE 1
TROY, AL 36081-3012
Phone number: 334-770-7337
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Mailing Address
Mr. ROGER WAYNE KIRK CRNP
PO BOX 312
UNION SPRINGS, AL 36089-0312
Phone number: 334-740-5252
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