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1245825108
MICAELA LAROSE
FORT SAM HOUSTON, TX
NPI
1245825108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX U1525)
Enumeration Date
2021-03-03
Last Update Date
2024-07-23
Business Address
MICAELA LAROSE
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4789
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Mailing Address
MICAELA LAROSE
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4789
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