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Individual
MS. THEODORA C RAFT
Active
Individual
MS. THEODORA C RAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
403307
NY
363LA2200X
Adult Health Nurse Practitioner
306107
NY
Other
Enumeration date
03/14/2013
Last updated
01/19/2022
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