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Individual

MR. LARRY THOMAS BARETTE JR.

Active
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Individual

MR. LARRY THOMAS BARETTE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP, MSN, PCCN

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
479738
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
1245800
TX

Other

Enumeration date
11/20/2025
Last updated
09/15/2026
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