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1629708110
JACOB ROBERT LAREAU
PORTSMOUTH, NH
NPI
1629708110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-16
Last Update Date
2022-06-30
Business Address
JACOB ROBERT LAREAU PA-C
SPORTSMEDICINE ATLANTIC ORTHOPAEDICS, P.A. 1900 LAFAYETTE ROAD SUITE A
PORTSMOUTH, NH 03801-0380
Phone number: 603-431-3347
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Mailing Address
JACOB ROBERT LAREAU PA-C
161 ROYAL HTS
WELLS, ME 04090-4923
Phone number: 413-427-1114
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