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Individual
ROGER DALE BINKLEY SR.
Active
Individual
ROGER DALE BINKLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15715
TN
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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