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Individual
MR. WILLIAM JUNIOR KRAAK
Active
Individual
MR. WILLIAM JUNIOR KRAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2752656B
MEDICARE PTAN
NC
Enumeration date
10/27/2006
Last updated
11/24/2014
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