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LINDA SUSAN ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
4081 WALNUT LN, MIDLOTHIAN, TX 76065
(972) 989-6774
Mailing address
4081 WALNUT LN, MIDLOTHIAN, TX 76065-6203
(972) 989-6774

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206520
TX

Other

Enumeration date
03/01/2018
Last updated
03/01/2018
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