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1528057577
LARRY FREDERICK PATRICK
OKLAHOMA CITY, OK
NPI
1528057577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK R0024225)
Enumeration Date
2005-10-20
Last Update Date
2007-07-08
Business Address
Mr. LARRY FREDERICK PATRICK CRNA
9500 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7425
Phone number: 405-475-0600
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Mailing Address
Mr. LARRY FREDERICK PATRICK CRNA
16505 THORTON LN
EDMOND, OK 73003-6883
Phone number: 405-607-4824
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