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Individual

PROF. ROGER DARE BLOCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MIHL

Contact information

Practice address
2701 ALPINE TRL, SAN MARCOS, TX 78666-2422
(325) 656-1482
Mailing address
2701 ALPINE TRL, SAN MARCOS, TX 78666-2422
(325) 656-1482

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
08/10/2015
Last updated
08/10/2015
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