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1861028961
IAN ROUNDTREE
BOSTON, MA
NPI
1861028961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
IAN ROUNDTREE MD, PHD
55 FRUIT ST # 730
BOSTON, MA 02114-2696
Phone number: 617-726-5820
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Mailing Address
IAN ROUNDTREE MD, PHD
2138 S INDIANA AVE APT 1509T
CHICAGO, IL 60616-4930
Phone number: 978-382-0088
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