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Individual
MR. LARRY WAYNE GROVES
Active
Individual
MR. LARRY WAYNE GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
AT00007
MO
171000000X
Military Health Care Provider
PT01648
MO
Other
Enumeration date
06/29/2007
Last updated
09/11/2025
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