Individual
MR. LARRY DAVID CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
3201 N GLENOAKS DR, MIDWEST CITY, OK 73110-1605
(405) 737-5071
Mailing address
3201 N GLENOAKS DR, MIDWEST CITY, OK 73110-1605
(405) 737-5071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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