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Individual
SELVIN LLOYD ROSE
Active
Individual
SELVIN LLOYD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027960
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/31/2021
Last updated
02/24/2022
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