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Individual

MR. RALPH RAY CASTLE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
LSU DEPARTMENT OF KINESIOLOGY, 112 HUEY P. LONG FIELDHOUSE, BATON ROUGE, LA 70803-0001
(225) 578-7175
Mailing address
3286 WESTERVELT AVE, BATON ROUGE, LA 70820-5034
(225) 769-4982

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00129
LA

Other

Enumeration date
09/30/2005
Last updated
07/08/2007
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