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Individual
SUSAN L. ROSE
Active
Individual
SUSAN L. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA10001719
WA
Other
Enumeration date
10/25/2006
Last updated
09/19/2008
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