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1831712702
RATANA LAURIE
LAKELAND, TN
NPI
1831712702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging
(Licence: TN 454308)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
RATANA LAURIE
3213 CREEKWOOD LN
LAKELAND, TN 38002-8226
Phone number: 253-226-9793
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Mailing Address
RATANA LAURIE
3213 CREEKWOOD LN
LAKELAND, TN 38002-8226
Phone number: 253-226-9793
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