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Individual
KATHERINE ROOSE
Active
Individual
KATHERINE ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201608030NP-PP
OR
Other
Enumeration date
09/29/2016
Last updated
04/23/2020
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