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Individual
LARRY MACHMUD
Active
Individual
LARRY MACHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
39344
CA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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