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Individual
ROGER A. ORDRONNEAU
Active
Individual
ROGER A. ORDRONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-01418
LICENSE NUMBER
NC
Enumeration date
07/01/2008
Last updated
09/23/2008
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