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1861663502
REBECCA ROSE
DEARBORN, MI
NPI
1861663502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003882)
Enumeration Date
2008-03-21
Last Update Date
2008-03-21
Business Address
-- REBECCA ROSE PA
18101 OAKWOOD BLVD
DEARBORN, MI 48124-4089
Phone number: 313-593-7000
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Mailing Address
-- REBECCA ROSE PA
415 BOARDWALK DR
WALLED LAKE, MI 48390-3544
Phone number: 313-593-7000
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