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Individual
MRS. LAURA ANN WHITE
Active
Individual
MRS. LAURA ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
002286
CT
225X00000X
Occupational Therapist
Primary
002286
CT
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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