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1851365332
LARRY ALTON WASHBURN
WILLIAMSBURG, VA
NPI
1851365332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840677)
Enumeration Date
2006-02-14
Last Update Date
2021-07-09
Business Address
Mr. LARRY ALTON WASHBURN PAC
5335 DISCOVERY PARK BLVD STE B
WILLIAMSBURG, VA 23188-2696
Phone number: 757-253-0603
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Mailing Address
Mr. LARRY ALTON WASHBURN PAC
4374 NEW TOWN AVE STE 100
WILLIAMSBURG, VA 23188-2865
Phone number: 757-252-1900
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