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Individual

LAGREGVONTAE Q MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2431 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 603-9977
(407) 603-9977
Mailing address
2431 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 603-9977
(407) 603-9977

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5246264
FL

Other

Enumeration date
06/09/2021
Last updated
06/09/2021
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