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1083138010
LARRY LEFORTE
PHOENIX, AZ
NPI
1083138010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: AZ 50617)
Enumeration Date
2017-08-01
Last Update Date
2022-07-21
Business Address
LARRY LEFORTE Paramedic
2018 W BLAYLOCK DR
PHOENIX, AZ 85085
Phone number: 928-499-2984
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Mailing Address
LARRY LEFORTE Paramedic
2018 W BLAYLOCK DR
PHOENIX, AZ 85085-1718
Phone number: 928-499-2984
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