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Individual

ROBYN T RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
MEADOW LN., CLSH UNIT 6 - WING D, PINEVILLE, LA 71360
(318) 441-5900
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN074892
LA
363LF0000X
Family Nurse Practitioner
Primary
AP03646
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01436518
LA
Enumeration date
02/08/2007
Last updated
05/01/2018
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