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Individual

DR. GAIL RUTH ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
611 89TH STREET NW, SUITE T, BRADENTON, FL 34209
(941) 713-7985
(941) 795-1143
Mailing address
611 89TH STREET NW, SUITE T, BRADENTON, FL 34209
(941) 713-7985
(941) 795-1143

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22614
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/14/2006
Last updated
04/14/2011
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