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Individual
ILAITIA LECIA NAMATASERE
Active
Individual
ILAITIA LECIA NAMATASERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
04/03/2023
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