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Individual

MR. JUSTIN ROBERT RAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-2020
Mailing address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200327
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
904119
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0002218-C-NP
CO

Other

Enumeration date
07/31/2020
Last updated
03/10/2021
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