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Individual

MR. DONALD RAY BOX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6515 POPLAR AVE, MEMPHIS, TN 38119-4878
(901) 530-7458
(901) 795-1738
Mailing address
6515 POPLAR AVE, MEMPHIS, TN 38119-4878
(901) 530-7458
(901) 795-1738

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
TN
225000000X
Orthotic Fitter
TN

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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