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Individual

DR. LARRY WAYNE MAGNUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2825 INTERSTATE 10 E, STE 105, BEAUMONT, TX 77702-1013
(409) 896-2373
(409) 896-2337
Mailing address
282 SEDRO TRL, GEORGETOWN, TX 78628-2021
(512) 773-5511
(512) 869-2420

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G1088
TX

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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