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Individual

EBONY ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
272 LANDOVER LN, FOUR OAKS, NC 27524-7734
(919) 578-8558
Mailing address
921 TOWN CENTRE BLVD UNIT 282, CLAYTON, NC 27520-2181
(919) 578-8558

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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