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1114905692
LARRY JAY BERMAN
PORTSMOUTH, NH
NPI
1114905692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2006-01-05
Last Update Date
2009-06-10
Business Address
Mr. LARRY JAY BERMAN USCG Corpsman
USCGC TAHOMA (WMEC-908) C/O PNSY BUILDING 170
PORTSMOUTH, NH 03804-5000
Phone number: 603-918-8735
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Mailing Address
Mr. LARRY JAY BERMAN USCG Corpsman
USCGC TAHOMA (WMEC-908) C/O PNSY BUILDING 170
PORTSMOUTH, NH 03804-5000
Phone number: 603-918-8735
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