Individual
LARRY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
386 NW DORY DR, OAK HARBOR, WA 98277-2077
(360) 720-0603
Mailing address
386 NW DORY DR, OAK HARBOR, WA 98277-2077
(360) 720-0603
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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