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Individual
MANDY M NEWTON ROSENOW
Active
Individual
MANDY M NEWTON ROSENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00508
NC
363A00000X
Physician Assistant
Primary
001608
IA
363A00000X
Physician Assistant
0110002047
VA
363A00000X
Physician Assistant
5601005731
MI
363A00000X
Physician Assistant
MA052924
PA
Other
Enumeration date
01/17/2006
Last updated
02/15/2016
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