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Individual
MRS. ROSE S. TRAGESER
Active
Individual
MRS. ROSE S. TRAGESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1221
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0556PA
—
SC
01
—
P008581112
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
08/09/2007
Last updated
02/03/2025
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