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Individual

JUSTIN SCOTT ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1425
Mailing address
933 OLD WILDERNESS RD, SALTVILLE, VA 24370-4229
(276) 782-5757

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001231492
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174579
VA

Other

Enumeration date
01/12/2017
Last updated
02/17/2017
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