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Individual

LARRY CHUMNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2776
FL

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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