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Organization

LARRY JACOB DARR

Active
Other names
Darr's Bootery
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY J DARR (OWNER)
(336) 472-7026
Entity
Organization

Contact information

Practice address
1033 RANDOLPH ST, SOUTHGATE PLAZA, THOMASVILLE, NC 27360-5785
(336) 472-7026
(336) 472-7062
Mailing address
1033 RANDOLPH ST, SOUTHGATE PLAZA, THOMASVILLE, NC 27360-5785
(336) 472-7026
(336) 472-7062

Taxonomy

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

Other

Enumeration date
08/05/2006
Last updated
12/09/2011
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