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1790401586
DECIA ROACH
WHITESTONE, NY
NPI
1790401586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
DECIA ROACH
15050 14TH RD
WHITESTONE, NY 11357-2609
Phone number: 718-767-0091
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Mailing Address
DECIA ROACH
242 CONCORD AVE
WEST HEMPSTEAD, NY 11552-1202
Phone number: 718-930-0078
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