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Individual
LAN CARRICO
Active
Individual
LAN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11906
CA
Other
Enumeration date
08/27/2015
Last updated
04/17/2016
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