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Individual

DAVID ROSEBORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
524 DOCTORS CT, CHESTER, SC 29706-8644
(803) 581-8311
Mailing address
524 DOCTORS CT, CHESTER, SC 29706-8644
(803) 581-8311

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
224935
SC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
224935
SC

Other

Enumeration date
10/29/2014
Last updated
10/29/2014
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