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Individual
MR. LARRY RONALD MORELOCK
Active
Individual
MR. LARRY RONALD MORELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CONTRACTOR
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10066045
PROVIDER ID
TX
Enumeration date
04/18/2007
Last updated
09/03/2008
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