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1225259104
ALICIA ANNE ROSE
JACKSON, MS
NPI
1225259104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3196-01)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. ALICIA ANNE ROSE D.M.D.
350 W WOODROW WILSON AVE JACKSON MEDICAL MALL, SUITE 3516
JACKSON, MS 39213-7681
Phone number: 601-987-5566
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Mailing Address
Dr. ALICIA ANNE ROSE D.M.D.
5518 PINE LANE DR
JACKSON, MS 39211-4018
Phone number: 601-899-9200
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