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1881751279
LAURIE DE ROQUE
CLINTON, AR
NPI
1881751279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AR OTR1268)
Enumeration Date
2007-01-03
Last Update Date
2007-07-09
Business Address
-- LAURIE DE ROQUE
851 YELLOWJACKET LN
CLINTON, AR 72031-6873
Phone number: 501-745-6034
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Mailing Address
-- LAURIE DE ROQUE
1840 COLUMBIA DR
CONWAY, AR 72034-7392
Phone number:
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