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1265647200
MICHELE JOANN ROACH
DETROIT, MI
NPI
1265647200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
(Licence: MI 3701-0106-0953-552)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
-- MICHELE JOANN ROACH
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1231
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Mailing Address
-- MICHELE JOANN ROACH
18311 CEDAR ISLAND BLVD
BROWNSTOWN, MI 48174-9585
Phone number: 313-995-0551
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