Provider Information for 1508068842
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ANGELA LYNN RAYMOND M.S.
Other Names:Former Name:ANGELA LYNN BUNDE B.S. SociologySex: Female
NPI: 1508068842
Last Updated: 2010-03-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508068842 | ||||||||||||
| Enumeration Date | 2007-05-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 17497 175TH AVE BLOOMER, WI 54724-4509 United States Phone: 715-288-5828 | Fax: | ||||||||||||
| Primary Practice Address | 323 E LA SALLE AVE BARRON, WI 54812-1502 United States Phone: 715-537-9921 | Fax:715-537-1607 | ||||||||||||
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