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Individual

LARRY W HENRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-6948
(808) 322-5849
Mailing address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 322-6948
(808) 322-5849

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
00015192
WA
2085R0001X
Radiation Oncology Physician
Primary
12234
HI

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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