Individual
LARRY GENE MORELAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9458 BEDFORD AVE, OMAHA, NE 68134-4608
(402) 637-5003
Mailing address
9458 BEDFORD AVE, OMAHA, NE 68134-4608
(402) 637-5003
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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