Individual
JAMYLYN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 BOWMAN DR, FAIRBORN, OH 45324-4053
(937) 716-8797
Mailing address
328 N MAPLE AVE APT 12, FAIRBORN, OH 45324-5167
(937) 240-2509
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
02/13/2020
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