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1386947000
LARRY L WHITE
SIERRA VISTA, AZ
NPI
1386947000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 3578)
Enumeration Date
2010-12-20
Last Update Date
2010-12-20
Business Address
-- LARRY L WHITE PT
365 WHITTON ST
SIERRA VISTA, AZ 85635-1450
Phone number: 520-805-5915
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Mailing Address
-- LARRY L WHITE PT
365 WHITTON STREET
SIERRA VISTA, AZ 85635-6003
Phone number: 520-805-5915
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