Individual
MR. RAYMOND W LE BOEUF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,L
Contact information
Practice address
50 SUNSET LN, PAXTON, MA 01612-1106
(508) 849-3448
(508) 849-3449
Mailing address
50 SUNSET LN, PAXTON, MA 01612-1106
(508) 849-3448
(508) 849-3449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
22
MA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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