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1225665946
LARRY LEE TAYLOR
TIFTON, GA
NPI
1225665946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN214375)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
MR. LARRY LEE TAYLOR NP
1805 TIFT AVE N STE D
TIFTON, GA 31794-3579
Phone number: 555-422-9382
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Mailing Address
MR. LARRY LEE TAYLOR NP
737 DONNA AVE
ASHBURN, GA 31714-3445
Phone number: 229-457-9598
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