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Individual
ROSA CRAWFORD
Active
Individual
ROSA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138098C
—
GA
05
—
013953700
—
FL
Enumeration date
06/10/2013
Last updated
05/15/2015
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