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Individual

ANDREW JONATHAN LARRIMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
100 PINEY NARROWS RD STE 1, CHESTER, MD 21619-2490
(410) 604-1500
Mailing address
112 INDIAN TRCE, STEVENSVILLE, MD 21666-3024
(410) 739-5202

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
225700000X
Massage Therapist
Primary
M06476
MD
374K00000X
Religious Nonmedical Practitioner

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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