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1174560627
LARRY J LANTINGA
SYRACUSE, NY
NPI
1174560627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: NY 007331-1)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
LARRY J LANTINGA PH.D.
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-3487
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Mailing Address
LARRY J LANTINGA PH.D.
63 CHAPEL WOODS W
WILLIAMSVILLE, NY 14221-1851
Phone number: 716-639-0657
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