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1023007986
LARRY D. SARTORE
SPRINGFIELD, IL
NPI
1023007986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 041173918)
Enumeration Date
2005-10-13
Last Update Date
2014-01-17
Business Address
-- LARRY D. SARTORE CRNA
800 EAST CARPENTER STREET ROOM 2K64
SPRINGFIELD, IL 62769-0001
Phone number: 217-525-5643
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Mailing Address
-- LARRY D. SARTORE CRNA
800 EAST CARPENTER STREET ROOM 2K64
SPRINGFIELD, IL 62769-0001
Phone number: 217-525-5643
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