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Individual

MRS. DEBORAH LYNN LARUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COF,CMF

Contact information

Practice address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 537-7010
Mailing address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 537-7010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C51825
NC

Other

Enumeration date
11/13/2014
Last updated
11/13/2014
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