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1548361439
LARRY M KORTH
PORT HURON, MI
NPI
1548361439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704077687)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. LARRY M KORTH CRNA
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-985-1500
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Mailing Address
Mr. LARRY M KORTH CRNA
3688 S VAN DYKE RD
MARLETTE, MI 48453-9351
Phone number:
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