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Individual
MICHAEL RENE ROGERS
Active
Individual
MICHAEL RENE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
LA 2731
LA
247100000X
Radiologic Technologist
Primary
10800
LA
Other
Enumeration date
09/18/2008
Last updated
03/07/2016
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