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Individual

MR. LARRY GLENN NEYHART JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
H.I.S

Contact information

Practice address
513 CEDAR LN, WATERVILLE, OH 43566-1161
(602) 339-3766
Mailing address
513 CEDAR LN, WATERVILLE, OH 43566-1161
(602) 339-3766

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
2319
OH
237700000X
Hearing Instrument Specialist
Primary
3501004763
MI

Other

Enumeration date
05/14/2015
Last updated
05/14/2015
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