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1740861269
AMANDA ROATH
LANSING, MI
NPI
1740861269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151014954)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
AMANDA ROATH DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
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Mailing Address
AMANDA ROATH DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Copy
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