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1013915727
MICHELLE L ROACH
KANSAS CITY, MO
NPI
1013915727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 121088)
Enumeration Date
2005-07-07
Last Update Date
2010-12-23
Business Address
-- MICHELLE L ROACH CPNP
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3080
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Mailing Address
-- MICHELLE L ROACH CPNP
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3080
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