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1629083027
LAWRENCE EDWARD KOUSSA
TUCSON, AZ
NPI
1629083027
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Other Name
LARRY EDWARD KOUSSA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 3782)
Enumeration Date
2006-07-31
Last Update Date
2007-08-29
Business Address
Dr. LAWRENCE EDWARD KOUSSA DDS
2102 N COUNTRY CLUB RD STE C
TUCSON, AZ 85716-2831
Phone number: 520-327-6269
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Mailing Address
Dr. LAWRENCE EDWARD KOUSSA DDS
2102 N COUNTRY CLUB RD STE C
TUCSON, AZ 85716-2831
Phone number: 520-327-6269
Copy
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