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1336814722
CRYSTAL ROSE
PORT ST LUCIE, FL
NPI
1336814722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA20372)
Enumeration Date
2021-08-09
Last Update Date
2022-08-29
Business Address
CRYSTAL ROSE M.S., CCC-SLP
1483 SW BOUGAINVILLEA AVE
PORT ST LUCIE, FL 34953-7302
Phone number: 772-337-4208
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Mailing Address
CRYSTAL ROSE M.S., CCC-SLP
771 SW GENERAL PATTON TER
PORT ST LUCIE, FL 34953-2657
Phone number: 772-607-1282
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