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1437490224
JEFFREY LARUE
LEWISTON, ME
NPI
1437490224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP131007)
Enumeration Date
2013-03-05
Last Update Date
2017-11-08
Business Address
JEFFREY LARUE
93 CAMPUS AVE
LEWISTON, ME 04240-6030
Phone number: 207-777-8700
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Mailing Address
JEFFREY LARUE
PO BOX 1638
ALBANY, NY 12201-1638
Phone number: 207-777-4111
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