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Individual

MR. ROGER F RENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT-B

Contact information

Practice address
ANDREWS AVE, BLDG 301, FORT RUCKER, AL 36362-5333
(334) 255-7799
Mailing address
ANDREWS AVE, BLDG 301, FORT RUCKER, AL 36362-5333
(334) 255-7799

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
9142973
AL
146N00000X
Basic Emergency Medical Technician
Primary
E1604034
AL

Other

Enumeration date
07/17/2008
Last updated
04/06/2015
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