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Individual

NECOLE LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
500 EAST WASHINGTON ST, STE 14, NOTH ATTLEBORO, MA 02760-1134
(508) 643-7050
(508) 643-9619
Mailing address
500 EAST WASHINGTON ST, STE 14, NOTH ATTLEBORO, MA 02760-1134
(508) 643-7050
(508) 643-9619

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2159
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0610732
MA
01
351208
HARVARD PILGRIM
MA
01
Y36507
BLUE CROSS
MA
Enumeration date
10/19/2006
Last updated
11/15/2012
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