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1710372867
LARRY SORRELL
ITHACA, NY
NPI
1710372867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 300197)
Enumeration Date
2015-04-04
Last Update Date
2021-09-29
Business Address
LARRY SORRELL MD
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 607-274-4011
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Mailing Address
LARRY SORRELL MD
PO BOX 2283
MOULTRIE, GA 31776-2283
Phone number:
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