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Individual

DR. LARRY WAYNE SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1236 LINCOLN AVE, EVANSVILLE, IN 47714-1056
(812) 464-3607
Mailing address
1236 LINCOLN AVE, EVANSVILLE, IN 47714-1056
(812) 464-3607

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
01019822A
IN

Other

Enumeration date
07/30/2009
Last updated
07/30/2009
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