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1376317271
AILIS ROOSE
SUGAR LAND, TX
NPI
1376317271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: TX 17257)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
AILIS ROOSE PA-C
17500 W GRAND PKWY S
SUGAR LAND, TX 77479-2562
Phone number: 832-655-4141
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Mailing Address
AILIS ROOSE PA-C
445 WARDS HILL RD
WARWICK, MD 21912-1248
Phone number: 443-945-6194
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