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Individual
LACRISHA J GO
Active
Individual
LACRISHA J GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015733
CA
363LF0000X
Family Nurse Practitioner
95015733
CA
Other
Enumeration date
10/18/2021
Last updated
03/11/2022
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