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Individual

SARA M ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
331 HOSPITAL DR STE A, LEBANON, MO 65536
(417) 533-6560
Mailing address
331 HOSPITAL DR STE A, LEBANON, MO 65536-9251
(417) 533-6560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018005544
MO

Other

Enumeration date
02/16/2018
Last updated
10/22/2019
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