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Individual
MS. ROSE M SMITH
Active
Individual
MS. ROSE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
C03776717451854
NJ
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/18/2010
Last updated
05/24/2025
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