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Individual
PETA-GAY LAWRENCE
Active
Individual
PETA-GAY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
598970
NY
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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