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1841397452
LARRY WAYNE BLEVINS
FORT BRAGG, NC
NPI
1841397452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
-- LARRY WAYNE BLEVINS PA-C
2817 REILLY ROAD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-8922
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Mailing Address
-- LARRY WAYNE BLEVINS PA-C
2817 REILLY ROAD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-8922
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