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1184240285
MIRANDA MICHELLE ROACH
MONTGOMERY, TX
NPI
1184240285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP145597)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
MIRANDA MICHELLE ROACH FNP-C
11907 CANDLEWOOD PL
MONTGOMERY, TX 77356-5427
Phone number: 720-480-3790
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Mailing Address
MIRANDA MICHELLE ROACH FNP-C
11907 CANDLEWOOD PL
MONTGOMERY, TX 77356-5427
Phone number: 720-480-3790
Copy
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