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1043941354
TRACE ROSE
HEMPSTEAD, NY
NPI
1043941354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 334935)
Enumeration Date
2022-06-19
Last Update Date
2022-06-19
Business Address
TRACE ROSE
34 DOWNS RD
HEMPSTEAD, NY 11550-7510
Phone number: 404-732-3265
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Mailing Address
TRACE ROSE
34 DOWNS RD
HEMPSTEAD, NY 11550-7510
Phone number: 404-732-3265
Copy
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