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1841280583
ROGER E SPORRE
FORT WAYNE, IN
NPI
1841280583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01030676A)
Enumeration Date
2005-10-25
Last Update Date
2018-01-31
Business Address
ROGER E SPORRE MD
7988 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-4400
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Mailing Address
ROGER E SPORRE MD
2518 E DUPONT RD
FORT WAYNE, IN 46825-1675
Phone number: 260-432-4400
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