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Individual

LARRY HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3203 NORTH AVE, PARMA, OH 44134-1346
(216) 526-5979
Mailing address
3203 NORTH AVE, PARMA, OH 44134-1346

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
11/28/2021
Last updated
11/29/2021
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