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Individual
ROSE BLAIR
Active
Individual
ROSE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02871965
—
NY
Enumeration date
03/10/2008
Last updated
03/10/2008
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