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1780225011
ROBERTA LAURENE ROTH
ALBUQUERQUE, NM
NPI
1780225011
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Former Name
ROBERTA LAURENE MANKLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
Mrs. ROBERTA LAURENE ROTH
1501 SAN PEDRO SE
ALBUQUERQUE, NM 87108
Phone number: 505-265-1711
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Mailing Address
Mrs. ROBERTA LAURENE ROTH
1501 SAN PEDRO SE
ALBUQUERQUE, NM 87108
Phone number:
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