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1972508059
MICHAEL S LA RUE
LOW MOOR, VA
NPI
1972508059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: VA 0110001381)
Enumeration Date
2005-06-16
Last Update Date
2008-08-12
Business Address
MICHAEL S LA RUE PA-C
PARTRICIA W HENDERSON DO PC 1 ARH LANE, STE 800
LOW MOOR, VA 24457
Phone number: 540-862-6750
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Mailing Address
MICHAEL S LA RUE PA-C
PO BOX 629
CLIFTON FORGE, VA 24422-0629
Phone number: 540-862-6659
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