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1235189994
LARRY KUSSIN
VAN NUYS, CA
NPI
1235189994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: CA A20370)
Enumeration Date
2006-05-11
Last Update Date
2007-08-21
Business Address
LARRY KUSSIN M.D.
15243 VANOWEN ST
VAN NUYS, CA 91405-3632
Phone number: 818-782-6110
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Mailing Address
LARRY KUSSIN M.D.
PO BOX 190
SIMI VALLEY, CA 93062-0190
Phone number: 805-522-5940
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