RALPH MARTIN RAY

DECATUR, IL
NPI1982677696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209-001257)
Enumeration Date2006-02-12
Last Update Date2007-07-08
Business Address
-- RALPH MARTIN RAY CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
Mailing Address
-- RALPH MARTIN RAY CRNA
715 COUNTRY MANOR DR
DECATUR, IL 62521-2524
Phone number: 217-424-2379
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