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1457905689
LISA DE ROSE
DETROIT, MI
NPI
1457905689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-25
Last Update Date
2020-06-30
Business Address
LISA DE ROSE MD
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-699-0819
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Mailing Address
LISA DE ROSE MD
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number:
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