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Individual
RUDY ANTHONY LACOSSE
Active
Individual
RUDY ANTHONY LACOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00503700
NJ
363A00000X
Physician Assistant
9109705
FL
363A00000X
Physician Assistant
MA060244
PA
Other
Enumeration date
09/30/2016
Last updated
11/21/2023
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