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Individual
MICHAEL DEAN ROSE
Active
Individual
MICHAEL DEAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61483912
WA
Other
Enumeration date
06/30/2015
Last updated
04/01/2024
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