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1093321085
LARRY ANTHONY MORALES
SAN LUIS, AZ
NPI
1093321085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 247394)
Enumeration Date
2020-09-16
Last Update Date
2021-08-24
Business Address
LARRY ANTHONY MORALES FNP-C
1233 N MAIN ST STE 1A
SAN LUIS, AZ 85336-0663
Phone number: 928-550-5514
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Mailing Address
LARRY ANTHONY MORALES FNP-C
PO BOX 617
SOMERTON, AZ 85350-0617
Phone number: 928-315-7910
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