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1386998805
KIM MARIE GAMBRELL ROACH
SUFFERN, NY
NPI
1386998805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 654498)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
-- KIM MARIE GAMBRELL ROACH rn
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- KIM MARIE GAMBRELL ROACH rn
16 TRUEX DR
NEW WINDSOR, NY 12553-5203
Phone number: 845-234-9599
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