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1023032034
LARRY CORNELIUS LEVERETT
PHOENIX, AZ
NPI
1023032034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AZ 119168)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- LARRY CORNELIUS LEVERETT M.D.
4530 E RAY RD SUITE 140
PHOENIX, AZ 85044-6094
Phone number: 480-706-5830
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Mailing Address
-- LARRY CORNELIUS LEVERETT M.D.
4530 E RAY RD SUITE 140
PHOENIX, AZ 85044-6094
Phone number: 480-706-5830
Copy
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