Individual
BARBARA J LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WEST MAIN STREET, RUSSELLVILLE, AR 72801-7280
(479) 968-1198
Mailing address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R098644
AR
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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