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Individual
MRS. LAURA A WANG
Active
Individual
MRS. LAURA A WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CLC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008755
NY
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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