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Individual

EMILY ROSE BURROUGHS

Active
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Individual

EMILY ROSE BURROUGHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096002703
IL
2255A2300X
Athletic Trainer
2010033069
MO
2255A2300X
Athletic Trainer
AL3190
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9112018
FL

Other

Enumeration date
06/24/2011
Last updated
11/28/2023
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