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1467859439
LARRY ROSS TRIPLETT
PHOENIX, AZ
NPI
1467859439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
LARRY ROSS TRIPLETT BS, CLINICIAN I
3105 E FAIRMOUNT AVE
PHOENIX, AZ 85016-6906
Phone number: 602-380-7544
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Mailing Address
LARRY ROSS TRIPLETT BS, CLINICIAN I
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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