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1386669166
EPHRAIM S ROTH
FLUSHING, NY
NPI
1386669166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 175907-1)
Enumeration Date
2006-07-13
Last Update Date
2010-11-17
Business Address
Dr. EPHRAIM S ROTH
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1435
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Mailing Address
Dr. EPHRAIM S ROTH
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
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