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Organization
LARRY H COUTURE MD INC
Active
Organization
LARRY H COUTURE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H COUTURE MD (PHYSICIAN)
(951) 682-9911
Entity
Organization
Contact information
Practice address
6848 MAGNOLIA AVE STE 230, RIVERSIDE, CA 92506-2858
(951) 682-9911
Mailing address
6848 MAGNOLIA AVE STE 230, RIVERSIDE, CA 92506-2858
(951) 682-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A63843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A638430
—
CA
Enumeration date
08/05/2006
Last updated
01/18/2011
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