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Individual

ROGER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5437
(810) 985-9011
Mailing address
422 14TH ST, PORT HURON, MI 48060-4237
(810) 982-2547

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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