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1114094190
MARY C ROSE
MILWAUKEE, WI
NPI
1114094190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 1115)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
MARY C ROSE RD
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-2000
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Mailing Address
MARY C ROSE RD
3801 N 92ND ST
MILWAUKEE, WI 53222-2503
Phone number: 414-535-1956
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