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1477513562
DON K LARUE
PRESCOTT, AZ
NPI
1477513562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WY 186)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
Mr. DON K LARUE MPAS,APA-C
500 HWY 89 NORTH
PRESCOTT, AZ 86313
Phone number: 800-949-1005
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Mailing Address
Mr. DON K LARUE MPAS,APA-C
5231 N LONE DR
PRESCOTT VALLEY, AZ 86314-4339
Phone number: 800-949-1005
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