LARRY LEE BOUSQUET

FORT MOHAVE, AZ
NPI1205544871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  283825)
Enumeration Date2022-11-11
Last Update Date2022-11-11
Business Address
Mr. LARRY LEE BOUSQUET FNP
1611 E JOY LN # 1
FORT MOHAVE, AZ 86426-8807
Phone number: 928-768-9496
Mailing Address
Mr. LARRY LEE BOUSQUET FNP
1611 E JOY LN
FORT MOHAVE, AZ 86426-8807
Phone number: 928-768-9496
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