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Individual
MR. ROGER L. SPRAGUE
Active
Individual
MR. ROGER L. SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
291022
NC
Other
Enumeration date
10/27/2006
Last updated
09/05/2023
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