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Individual

MRS. ROSA MARIE MCLAURIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1300 N CENTER ST, SUITE C, LONOKE, AR 72086
(501) 676-3600
(501) 676-3601
Mailing address
1300 N CENTER ST, SUITE C, LONOKE, AR 72086
(501) 676-3600
(501) 676-3601

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1373
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11057000040
QUAL CHOICE
01
5T331
BCBS
Enumeration date
06/07/2006
Last updated
06/11/2012
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