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1902937782
ROGER JOSEPH BROMAGHIM
BIG LAKE, MN
NPI
1902937782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D9355)
Enumeration Date
2007-03-07
Last Update Date
2007-07-09
Business Address
Dr. ROGER JOSEPH BROMAGHIM D.D.S.
16991 198TH AVENUE NW
BIG LAKE, MN 55309-0249
Phone number: 763-263-6350
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Mailing Address
Dr. ROGER JOSEPH BROMAGHIM D.D.S.
16991 198TH AVENUE NW PO BOX 249
BIG LAKE, MN 55309-0249
Phone number: 763-263-6350
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