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1700467214
VINCENT MICHAEL ROTH
LOS ANGELES, CA
NPI
1700467214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
VINCENT MICHAEL ROTH
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033-1029
Phone number: 813-368-7322
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Mailing Address
VINCENT MICHAEL ROTH
2602 BROOKER TRACE LN
VALRICO, FL 33596-5656
Phone number: 813-368-7732
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