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Individual

RAY BLOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LNMT

Contact information

Practice address
1874 PIEDMONT RD NE, 480D, ATLANTA, GA 30324-4869
(404) 226-3590
Mailing address
2175 LENOX RD NE, C4, ATLANTA, GA 30324-4733
(404) 226-3590

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000031
GA

Other

Enumeration date
05/28/2009
Last updated
05/28/2009
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