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Individual
LAURA JANKIPRASAD
Active
Individual
LAURA JANKIPRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5395
FL
152W00000X
Optometrist
OPC5395
FL
207W00000X
Ophthalmology Physician
5395
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/24/2017
Last updated
08/21/2019
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