Laurie De Roque

NPI #1881751279 in Clinton, Arkansas

Provider Information

NPI Number
1881751279
Entity Type
Individual
Name
Laurie De Roque
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jan 3, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
851 YELLOWJACKET LN
ZIP Code
72031-6873
Phone
(501) 745-6034

Specialties & Taxonomy Codes

Specialty
Contractor

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