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1508959206
LARRY G. BUCKINGHAM
PADUCAH, KY
NPI
1508959206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 347A)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Mr. LARRY G. BUCKINGHAM CRNA
225 MEDICAL CENTER DR SUITE 308
PADUCAH, KY 42003-7914
Phone number: 270-441-4750
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Mailing Address
Mr. LARRY G. BUCKINGHAM CRNA
225 MEDICAL CENTER DR SUITE 308
PADUCAH, KY 42003-7914
Phone number: 270-441-4750
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