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1760283345
LARRY COOMER HERNANDEZ
FORT MOHAVE, AZ
NPI
1760283345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 014942)
Enumeration Date
2025-03-20
Last Update Date
2025-03-20
Business Address
LARRY COOMER HERNANDEZ PTA
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426-9225
Phone number: 928-788-2273
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Mailing Address
LARRY COOMER HERNANDEZ PTA
533O S HWY 95
FORT MOHAVE, AZ 86426
Phone number:
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