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Individual

MRS. LARRICE MICHELLE DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
103 NE FRONT ST, NEW BOSTON, TX 75570-2906
(903) 628-1360
(903) 628-1361
Mailing address
PO BOX 1317, NEW BOSTON, TX 75570-1317
(903) 628-1360
(903) 628-1361

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/26/2007
Last updated
11/26/2007
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