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Individual

LAURA R DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
908 S MAIN ST, HOPE, AR 71801-6525
(870) 777-6161
(870) 777-9997
Mailing address
PO BOX 988, HOPE, AR 71802-0988
(870) 777-6161
(870) 777-9997

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1506
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145954718
AR
Enumeration date
03/07/2006
Last updated
05/20/2011
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