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1831378082
LARRY LEE THIRSTRUP
SLIDELL, LA
NPI
1831378082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA LA05574R)
Enumeration Date
2007-10-24
Last Update Date
2007-10-24
Business Address
-- LARRY LEE THIRSTRUP M.D.
609 BROWNSWITCH RD
SLIDELL, LA 70458-1233
Phone number: 985-649-7357
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Mailing Address
-- LARRY LEE THIRSTRUP M.D.
200 OLYMPIA DR
SLIDELL, LA 70460-3222
Phone number: 985-649-7357
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