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1033267505
RAYMOND RAPHAEL
METAIRIE, LA
NPI
1033267505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00303)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- RAYMOND RAPHAEL ATC
617 ARIS AVE
METAIRIE, LA 70005-2927
Phone number: 504-835-4771
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Mailing Address
-- RAYMOND RAPHAEL ATC
617 ARIS AVE
METAIRIE, LA 70005-2927
Phone number: 504-835-4771
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