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1801814892
LARRY R. NELSON
CENTRALIA, WA
NPI
1801814892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA 252-9 0013431)
Enumeration Date
2006-07-17
Last Update Date
2007-07-09
Business Address
DR. LARRY R. NELSON M.D.
1800 COOKS HILL RD
CENTRALIA, WA 98531-9072
Phone number: 360-736-0713
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Mailing Address
DR. LARRY R. NELSON M.D.
1401 MARVIN RD NE SUITE 307 PMB 266
LACEY, WA 98516-5709
Phone number: 360-491-5055
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