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Individual
ROSA GANOZA
Active
Individual
ROSA GANOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0744567
SUFFOLK COMMUNITY COLLEGE
NY
01
—
525659120
LEARNER PERMIT
NY
Enumeration date
02/11/2007
Last updated
07/08/2007
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