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1588342075
CHARLEMAGNE RAPHAEL
FORT LAUDERDALE, FL
NPI
1588342075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PR 001358-PA)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
CHARLEMAGNE RAPHAEL Physician Assistant
220 SW 38TH AVE APT 104
FORT LAUDERDALE, FL 33312-1871
Phone number: 475-268-9328
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Mailing Address
CHARLEMAGNE RAPHAEL Physician Assistant
220 SW 38TH AVE APT 104
FORT LAUDERDALE, FL 33312-1871
Phone number: 475-268-9328
Copy
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