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Individual
WILLIAM LAGROSA
Active
Individual
WILLIAM LAGROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
88144
NE
246ZC0007X
Surgical Assistant
4555
MN
363L00000X
Nurse Practitioner
Primary
11020638
FL
Other
Enumeration date
02/05/2020
Last updated
07/27/2022
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