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1619020005
SHERRYL K. ROSE
MERIDIAN, ID
NPI
1619020005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O25)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. SHERRYL K. ROSE D.O.
2153 N LEANN WAY
MERIDIAN, ID 83642-1227
Phone number: 208-888-9521
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Mailing Address
Dr. SHERRYL K. ROSE D.O.
2153 N LEANN WAY
MERIDIAN, ID 83642-1227
Phone number: 208-888-9521
Copy
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