LARRY STEVEN MCMILLEN

CANON CITY, CO
NPI1891721122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  45130)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
-- LARRY STEVEN MCMILLEN CRNA
933 SELLS AVE
CANON CITY, CO 81212-4900
Phone number: 719-275-6433
Mailing Address
-- LARRY STEVEN MCMILLEN CRNA
8022 GARDEN PARK RD
CANON CITY, CO 81212-9639
Phone number: 719-276-2029
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