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1003312877
SI ROATEN
BALL, LA
NPI
1003312877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2471C3401X Radiologic Technologist, Computed Tomography
(Licence: LA 12633)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
SI ROATEN R.T. (R)(CT)
115 GAYVEN DR
BALL, LA 71405-4901
Phone number: 731-267-6911
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Mailing Address
SI ROATEN R.T. (R)(CT)
97 SHERWOOD DR
DRY PRONG, LA 71423-8755
Phone number:
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