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1730218561
WANTINA WYNETTE BROOKS-ROACH
FLORENCE, KY
NPI
1730218561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: KY 9000017)
Enumeration Date
2007-03-05
Last Update Date
2020-11-27
Business Address
Mrs. WANTINA WYNETTE BROOKS-ROACH LCPM
10 GIRARD ST STE B
FLORENCE, KY 41042-5106
Phone number: 859-363-6050
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Mailing Address
Mrs. WANTINA WYNETTE BROOKS-ROACH LCPM
1141 N LOOP 1604 E # 105187
SAN ANTONIO, TX 78232-1339
Phone number: 805-738-8824
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