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Individual

LARRY RALPH LABEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
Mailing address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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