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Individual

LARRY LANCE COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
33510 SCHOOLCRAFT RD, LIVONIA, MI 48150-1504
(734) 422-3310
Mailing address
50815 BREDENBURY DR, MACOMB, MI 48044-1387
(248) 882-9962

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022006
MI

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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