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Individual
TAMAREAL ROSS
Active
Individual
TAMAREAL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-48005
KS
207Q00000X
Family Medicine Physician
Primary
2023010416
MO
207Q00000X
Family Medicine Physician
R3420
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/07/2014
Last updated
11/14/2023
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