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1033551577
MICHAEL ROSE
FORT WORTH, TX
NPI
1033551577
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Other Name
MYKEL ROSE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
Mr. MICHAEL ROSE
4924 BELLADONNA DR
FORT WORTH, TX 76123
Phone number: 214-966-4803
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Mailing Address
Mr. MICHAEL ROSE
4924 BELLADONNA DR
FORT WORTH, TX 76123-4610
Phone number: 214-966-4803
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