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Individual
DR. WALLACE ROSALES ROZEFORT
Active
Individual
DR. WALLACE ROSALES ROZEFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401165
MI
111N00000X
Chiropractor
271416
KY
111N00000X
Chiropractor
CH13525
FL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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