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1326001777
MICHAEL THOMAS ROCHE
GRAND RAPIDS, MI
NPI
1326001777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL THOMAS ROCHE ATC
143 BOSTWICK AVE NE
GRAND RAPIDS, MI 49503-3201
Phone number: 616-234-4260
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Mailing Address
Mr. MICHAEL THOMAS ROCHE ATC
6479 LAKESHORE DR
WEST OLIVE, MI 49460-9743
Phone number: 616-638-0121
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