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1255492658
LARRY WAYNE LADD
HOUSTON, MO
NPI
1255492658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 50382)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Mr. LARRY WAYNE LADD CRNA
1333 S SAM HOUSTON BLVD TEXAS CO MEMORIAL HOSPITAL
HOUSTON, MO 65483
Phone number: 417-967-3311
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Mailing Address
Mr. LARRY WAYNE LADD CRNA
3734 CHAYBAWLE RD
MANSFIELD, MO 65704
Phone number: 417-741-7168
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