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Individual
MR. MICHAEL RAY RALPH
Active
Individual
MR. MICHAEL RAY RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST MS CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001921
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093067
ANTHEM BLUE CROSS
IN
01
—
000000201103
ANTHEM BLUE CROSS
IN
01
—
AN15840270001
CIGNA
IN
Enumeration date
09/07/2006
Last updated
07/08/2007
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