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Individual
MS. LAURIE ELLEN MANFRATES
Active
Individual
MS. LAURIE ELLEN MANFRATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
522587111
NY
174400000X
Specialist
536563111
NY
174400000X
Specialist
689735121
NY
174400000X
Specialist
Primary
703280131
NY
174400000X
Specialist
703375131
NY
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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