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Individual

LARRY G WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
115 E MAIN, DENVER, IA 50622-0488
(319) 984-5829
Mailing address
115 E MAIN, PO BOX 488, DENVER, IA 50622-0488
(319) 984-5829

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04553
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0130781
IA
Enumeration date
03/23/2006
Last updated
10/02/2007
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