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1578614749
LARRY KENNETH O'BRYANT
PUYALLUP, WA
NPI
1578614749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WA MD38704)
Enumeration Date
2007-01-15
Last Update Date
2008-05-21
Business Address
-- LARRY KENNETH O'BRYANT MD
407 14TH AVE SE
PUYALLUP, WA 98372-3770
Phone number: 253-697-5647
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Mailing Address
-- LARRY KENNETH O'BRYANT MD
2910 16TH ST SE
PUYALLUP, WA 98374-1379
Phone number:
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