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1700397650
LARRY LAWAYNE MINOR
PHOENIX, AZ
NPI
1700397650
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Professional Name
LARRY LAWAYNE MINOR
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP10495)
Enumeration Date
2017-10-18
Last Update Date
2017-10-28
Business Address
LARRY LAWAYNE MINOR FNP
4169 E CHOLLA CANYON DR
PHOENIX, AZ 85044-6712
Phone number: 480-495-5940
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Mailing Address
LARRY LAWAYNE MINOR FNP
4169 E CHOLLA CANYON DR
PHOENIX, AZ 85044-6712
Phone number: 480-495-5940
Copy
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