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Individual

MRS. SANDRA SUE ROGERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
796 LOUISIANA AVE, DYESS AFB, TX 79607
(325) 696-5432
(325) 696-5431
Mailing address
326 COUNTY ROAD 323, TUSCOLA, TX 79562-2540
(325) 572-5909
(325) 572-5909

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
545725
TX

Other

Enumeration date
02/14/2006
Last updated
07/08/2007
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