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1336417559
STACEY J ROACH
NORWICH, NY
NPI
1336417559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 2956191)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
Mrs. STACEY J ROACH
2 RIDGELAND RD
NORWICH, NY 13815-1245
Phone number: 607-334-1600
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Mailing Address
Mrs. STACEY J ROACH
2 RIDGELAND RD
NORWICH, NY 13815-1245
Phone number: 607-334-1600
Copy
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