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Individual

CHAD A RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15447 ANACAPA RD, SUITE 104, VICTORVILLE, CA 92392-2481
(760) 245-9446
(790) 751-8986
Mailing address
1323 W COLTON AVE, SUITE 100, REDLANDS, CA 92374-4554
(909) 792-0747
(909) 792-2045

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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