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Individual

LARRY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 CALEDONIA HEIGHTS RD APT A7, MOOREFIELD, WV 26836-9551
(304) 538-4401
Mailing address
100 CALEDONIA HEIGHTS RD APT A7, MOOREFIELD, WV 26836-9551
(304) 538-4401

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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