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1609566330
CHRISTA LOUISE ROSE
SOUTH BEND, IN
NPI
1609566330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202001236)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
Ms. CHRISTA LOUISE ROSE
1501 EAST MADISON STREET
SOUTH BEND, IN 46617
Phone number: 574-274-5492
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Mailing Address
Ms. CHRISTA LOUISE ROSE
1501 E MADISON ST
SOUTH BEND, IN 46617-2505
Phone number: 574-274-5492
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