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1376568568
ETHEL S. ROSE
JACKSON, MS
NPI
1376568568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MS 09736)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
Dr. ETHEL S. ROSE MD
1500 E WOODROW WILSON AVE VAMC, 127
JACKSON, MS 39216-5116
Phone number: 601-364-1285
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Mailing Address
Dr. ETHEL S. ROSE MD
1500 E. WOODROW WILSON DR VAMC, 127
JACKSON, MS 39216-5116
Phone number: 601-364-1285
Copy
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