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1639474208
NIKKI SUE ROACH
CALDWELL, ID
NPI
1639474208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-01-12
Last Update Date
2011-01-12
Business Address
Mrs. NIKKI SUE ROACH
5014 CIDER MILL PL
CALDWELL, ID 83607-5078
Phone number: 208-795-7411
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Mailing Address
Mrs. NIKKI SUE ROACH
5014 CIDER MILL PL
CALDWELL, ID 83607-5078
Phone number: 208-795-7411
Copy
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