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Individual

GERALDINE RAPHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
020016
TX
163W00000X
Registered Nurse
RN1028365
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10293906
DRIVER LICENSE
TX
Enumeration date
04/08/2013
Last updated
10/26/2021
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