Individual
DANA K LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14685 W VAN BUREN ST, CRESCENT, OK 73028-8789
(405) 249-2990
Mailing address
14685 W VAN BUREN ST, CRESCENT, OK 73028-8789
(405) 249-2990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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