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Individual
ROSEMARIE LARA
Active
Individual
ROSEMARIE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP13828
CA
363L00000X
Nurse Practitioner
Primary
RN508763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN508763
—
CA
Enumeration date
07/25/2006
Last updated
11/03/2011
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