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Individual
LAURIE JAMES
Active
Individual
LAURIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
T6250855
VA
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T62508555
DRIVERS LICENCE
VA
Enumeration date
09/13/2017
Last updated
07/21/2022
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