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Individual

RODNEY DEAN DUPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/14/2012
Last updated
02/04/2013
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