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1508003187
ROGER RAVIX JR.
ELMONT, NY
NPI
1508003187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 284410)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
-- ROGER RAVIX JR.
292 DOHERTY AVE
ELMONT, NY 11003-3019
Phone number: 347-724-4309
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Mailing Address
-- ROGER RAVIX JR.
292 DOHERTY AVE
ELMONT, NY 11003-3019
Phone number: 347-724-4309
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