Individual
TAYLOR LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4644 W CINNAMON AVE, COOLIDGE, AZ 85128-8298
(480) 828-0265
Mailing address
4644 W CINNAMON AVE, COOLIDGE, AZ 85128-8298
(480) 828-0265
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
AZ00013304
AZ
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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