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1811090939
LARRY J BUCKEL
GREENWOOD, IN
NPI
1811090939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ND0900X Dermatology, Dermatopathology
(Licence: IN 01022110)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Mr. LARRY J BUCKEL MD
53 SOUTH PARK BLVD
GREENWOOD, IN 46143
Phone number: 317-889-7546
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Mailing Address
Mr. LARRY J BUCKEL MD
53 SOUTH PARK BLVD
GREENWOOD, IN 46143
Phone number: 317-889-7546
Copy
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