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Individual
MATTHEW R LAFOLLETTE
Active
Individual
MATTHEW R LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.392732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.392732
LICENSES NUMBER
OH
Enumeration date
08/11/2021
Last updated
08/11/2021
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