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1932200672
LARRY T KONZEN
POWAY, CA
NPI
1932200672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G43960)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. LARRY T KONZEN
15721 POMERADO ROAD
POWAY, CA 92064
Phone number: 858-485-6644
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Mailing Address
Mr. LARRY T KONZEN
15721 POMERADO ROAD
POWAY, CA 92064
Phone number: 858-485-6644
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