KIMBERLY ROACH

FORT LEONARD WOOD, MO
NPI1578863544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  041994)
Enumeration Date2010-10-25
Last Update Date2010-12-01
Business Address
-- KIMBERLY ROACH
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1765
Mailing Address
-- KIMBERLY ROACH
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1765
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