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Individual
MRS. TRICIA KAY ROSA
Active
Individual
MRS. TRICIA KAY ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704278243
MI
363LF0000X
Family Nurse Practitioner
3017093
KY
363LF0000X
Family Nurse Practitioner
Primary
4704278243
MI
Other
Enumeration date
06/19/2019
Last updated
06/24/2026
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