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1336345073
LARRY CHARLES PLUMMER
FORT CAMPBELL, KY
NPI
1336345073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 977-023)
Enumeration Date
2007-06-21
Last Update Date
2016-04-27
Business Address
-- LARRY CHARLES PLUMMER PAC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-4677
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Mailing Address
-- LARRY CHARLES PLUMMER PAC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-4677
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