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1194732255
LARRY L MATTINGLY
ORANGE PARK, FL
NPI
1194732255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL OS5284)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- LARRY L MATTINGLY DO
2233 PARK AVENUE STE 303
ORANGE PARK, FL 32073
Phone number: 904-264-6800
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Mailing Address
-- LARRY L MATTINGLY DO
2233 PARK AVENUE STE 303
ORANGE PARK, FL 32073
Phone number: 904-264-6800
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