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1811917651
ROGER LEE NORTHEN
FORT COLLINS, CO
NPI
1811917651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO hd105225)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. ROGER LEE NORTHEN DDS
1001 CENTRE AVE
FORT COLLINS, CO 80526-6047
Phone number: 970-407-1001
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Mailing Address
Dr. ROGER LEE NORTHEN DDS
1001 CENTRE AVE
FORT COLLINS, CO 80526-6047
Phone number: 970-407-1001
Copy
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