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Individual

MR. RAYMOND E CONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
1516 SPRING ST, JEFFERSONVILLE, IN 47130-2940
(812) 282-3676
(812) 282-3697
Mailing address
1516 SPRING ST, JEFFERSONVILLE, IN 47130-2940
(812) 282-3676
(812) 282-3697

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17000464
IN
237700000X
Hearing Instrument Specialist
53
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100075140A
IN
Enumeration date
05/10/2006
Last updated
12/01/2014
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