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Individual
LAURIE J DESOUZA
Active
Individual
LAURIE J DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1352572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009264900
—
FL
01
—
Y8493
FLORIDA BLUE
FL
Enumeration date
04/23/2007
Last updated
12/05/2016
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