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1417906694
MICHELLE ANN ICKES
ROANOKE, VA
NPI
1417906694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: VA 2201000510)
Enumeration Date
2006-05-08
Last Update Date
2016-03-01
Business Address
-- MICHELLE ANN ICKES Ph.D.
2030 COLONIAL AVE SW
ROANOKE, VA 24015-3204
Phone number: 540-343-0165
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Mailing Address
-- MICHELLE ANN ICKES Ph.D.
PO BOX 98
WHITE SULPHUR SPRINGS, WV 24986-0098
Phone number: 304-536-5030
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