Individual
DAVID MICHAEL LABORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 249-5613
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 249-5613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11133
MN
Other
Enumeration date
07/16/2012
Last updated
01/12/2022
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