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1356330542
LARRY R BUCKLEY
ROLLA, MO
NPI
1356330542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 112148)
Enumeration Date
2005-10-19
Last Update Date
2009-11-17
Business Address
Mr. LARRY R BUCKLEY PA-C, MPA
600 BLUES LAKE PKWY
ROLLA, MO 65401-8022
Phone number: 573-364-8822
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Mailing Address
Mr. LARRY R BUCKLEY PA-C, MPA
600 BLUES LAKE PKWY
ROLLA, MO 65401-8022
Phone number: 573-364-8823
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