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1033591995
KELSEY BLAINE ROUSE
RALEIGH, NC
NPI
1033591995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05793)
Enumeration Date
2015-06-26
Last Update Date
2018-08-24
Business Address
Mrs. KELSEY BLAINE ROUSE Physician Assistant
3400 WAKE FOREST RD
RALEIGH, NC 27609
Phone number: 919-954-3967
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Mailing Address
Mrs. KELSEY BLAINE ROUSE Physician Assistant
1050 WASHINGTON ST UNIT 102
RALEIGH, NC 27605-3274
Phone number:
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