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1821200502
LARRY KEITH LACLAIR
BRUNSWICK, ME
NPI
1821200502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME 12081)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- LARRY KEITH LACLAIR MD
25 MACMILLAN DRIVE
BRUNSWICK, ME 04011-3222
Phone number: 207-725-8008
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Mailing Address
-- LARRY KEITH LACLAIR MD
25 MACMILLAN DRIVE
BRUNSWICK, ME 04011-3222
Phone number: 207-725-8008
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