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Individual

JEFFREY LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8700
(207) 777-8826
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP131007
ME

Other

Enumeration date
03/05/2013
Last updated
11/08/2017
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