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1851341176
RODGER SETH WINE
MODESTO, CA
NPI
1851341176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA G71194)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- RODGER SETH WINE MD
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
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Mailing Address
-- RODGER SETH WINE MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740
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