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1114011509
LARRY L COHEN
ESPANOLA, NM
NPI
1114011509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 7311)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
LARRY L COHEN MD
1010 SPRUCE ST ESPANOLA HOSPITAL
ESPANOLA, NM 87532-2724
Phone number: 505-753-7111
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Mailing Address
LARRY L COHEN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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