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Individual
ROGER WILLIAM JUMP III
Active
Individual
ROGER WILLIAM JUMP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02004782A
IN
208800000X
Urology Physician
5101019480
MI
Other
Enumeration date
07/13/2011
Last updated
06/02/2016
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