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1164863262
MICHELLE L ROARK
MERIDIAN, MS
NPI
1164863262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: MS A810516)
Enumeration Date
2013-07-17
Last Update Date
2014-02-18
Business Address
-- MICHELLE L ROARK CNM
905C S FRONTAGE RD
MERIDIAN, MS 39301-6113
Phone number: 601-486-4210
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Mailing Address
-- MICHELLE L ROARK CNM
PO BOX 5208
MERIDIAN, MS 39302-5208
Phone number: 601-486-4210
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