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1477536530
DAVID BERTRAND ROSE
GREENWOOD, IN
NPI
1477536530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 1001247)
Enumeration Date
2005-11-22
Last Update Date
2013-06-05
Business Address
Mr. DAVID BERTRAND ROSE P.A.
369 EUCLID AVE
GREENWOOD, IN 46142-3613
Phone number: 317-881-2958
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Mailing Address
Mr. DAVID BERTRAND ROSE P.A.
CMR 427, BOX 2221
VICENZA, VENETO APO AE 09630
Phone number: 01139044-458-3299
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