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1598728685
LARRY L BACZURIK
SPARTANBURG, SC
NPI
1598728685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC APN 814)
Enumeration Date
2006-04-10
Last Update Date
2011-12-30
Business Address
-- LARRY L BACZURIK CRNA
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6122
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Mailing Address
-- LARRY L BACZURIK CRNA
PO BOX 277723
ATLANTA, GA 30384-7723
Phone number: 864-560-4123
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