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Individual
JUAN CARLOS LA ROSA PEDROSO
Active
Individual
JUAN CARLOS LA ROSA PEDROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10789
TX
Other
Enumeration date
09/12/2011
Last updated
12/28/2016
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