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Individual
LATA KOIRALA
Active
Individual
LATA KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12108
TX
363AM0700X
Medical Physician Assistant
2483
OK
Other
Enumeration date
01/30/2015
Last updated
05/16/2022
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