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Individual
JAMES D. RAQUE
Active
Individual
JAMES D. RAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
017660
ME
2085R0204X
Vascular & Interventional Radiology Physician
Primary
017660
ME
2085R0204X
Vascular & Interventional Radiology Physician
42012
CO
Other
Enumeration date
08/13/2006
Last updated
08/15/2011
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